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DISEASES OF THE LIVER. 



THE 

Diseases of the Liver : 

JAUNDICE. GALL-STONES, 

ENLARGEMENTS, TUMOURS, AND 

CANCER : 

AND THEIR TREATMENT. 

BY 

J. COMPTON BURNETT, M. D. 



Second, Revised and Enlarged Edition. 



1 Das ist eben das wahre Geheimniss, das 
Allen vor Augen 
Liegt, eueh ewig unigibt, aber 
von Keinem gesehen." 

Sehiller. 



BOERICKE & TAFEI,. 1 SEP T 6 < H 33S j 



PHILADELPHIA '. 



J[r ntevyg* 





/ 






7 

h 




. 


KM 


3 




•3 


3 


Copyright, 


1895, 




by 






BOERICKE & TAFEL. 





PREFACE TO FIRST EDITION. 



^pO those accustomed to treat diseases 
of the liver with remedies having an 
elective affinity for the organ itself, the 
contents of this volume must appear more 
or less self-evident. I refer more par- 
ticularly to the practitioners of scientific 
therapeutics usually called homoeopaths. 
But the practitioners of traditional medi- 
cine will find in my pages a great deal to 
interest them, and not a little that is new; 
new at least to them. 

Those of my readers who have a 
taste for the more strictly doctrinal part 
of my subject, I would refer to my small 
work entitled * ' Diseases of the Spleen and 
their Remedies Clinically Illustrated," to 
which this is intended to be a companion 
volume. 



vi Preface to First Edition, 

The prevailing ignorance of good 
organ-remedies is lamentable. Not long 
since a lady came to me for a chronic 
liver affection of nine years' standing, 
and, though her physician is a man of 
high standing in the profession, and a 
doctor of medicine of the University of 
London, his sole treatment had consisted 
in giving the accursed morphia to lull the 
pains. He had never even tried one 
single good organ-remedy, and this not- 
withstanding the fact that patient has long 
been profoundly jaundiced. And this, 
too, is I fear, a fair sample of the every- 
day work of the men of light and leading 
in the profession. 

The pain being the outcome of the 
disease, the treatment should have been 
directed to the causal complaint, and not 
to the effect — the pain. Had this been 
done, the lady would, in all probability, 
have been cured of the fundamental dis- 
ease; as it is, her disease has become 



Preface to First Edition. vii 

formidable, and probably incurable, and 
she herself is a hopeless, helpless, will- 
less morphia eater. 

It is in the hope of throwing a 
little light into this dismal darkness that 
these pages are sent to the Press. 

October 2, 18 go. 



PREFACE TO SECOND EDITION. 



J^HE first edition of this work being 
exhausted, this second edition gives 
me an opportunity of saying by way of 
one word, that my little treatise ' ' Diseases 
of the Spleen" contains much that, in 
justice to my subject, ought to have ap- 
peared in "Diseases of the Liver," I 
refer more particularly to the theoretical 
considerations on the place of organopathy 
in the homoeopathic edifice. Attention 
was called to this, but most of my review- 
ers have clearly overlooked the point and 
hence it has come to pass that I feel that 
my dear little bantling has not had quite 
fair play. It has, so to speak, been 
dotting about the world on one leg much 
to my parental concern. 

My stand-point in Diseases of the 
Liver is a scientific and doctrinal one and 



x Preface to Second Edition. 

one moreover of great practical impor- 
tance and my little book is not merely an 
omnium gatherum of hepatic odds and 
ends. For my justification I now add 
Part /, which ought to have appeared in 
the first edition. 

J. COMPTON BURNETT, M. D. 

86 Wimpole Street, 

Lo?tdon, W. 
Midsummer, 1895. ■ 



■**>£*&r& 



®o tf|e 3Hemorg 



OF 



THE RESUSCITATOR OF 
PARACELSIC ORGANOPATHY 

THESE PAGES ARE GRATEFULLY DEDICATED 



®fte ^utfior* 



PART I. 



The Autonomy and Hegemony of the Organ 
in the Organism : Bei?ig Remarks In- 
troductory to the Cure of Organ Diseases 
by Organ Remedies in Reference to Dis- 
eases of the Liver, 



The Diseases of the Liver: 

The Antomony and Hegemony of the 
Organ in the Organism. 

T^HE interaction of the human 
organism with its environment 
has generally been recognized in 
every age according to the views 
current at the time, the relations 
of the microcosm to the macrocosm 
used to be a big chapter in medical 
doctrine. 

That man acts upon his environ- 
ment has been well demonstrated 
by the changes that have been 
wrought in physical nature in the 
United States, Canada and Aus- 
tralia since they have become in- 



2 Environment, 

habited. The differences in the 
American, Canadian, and Aus- 
tralian shew clearly that nature 
reacts back on man who is moulded 
and formed by his climate. I am 
personally acquainted with a gen- 
tleman, now resident in London, 
who at twenty years of age left 
England for Eastern Europe, and 
there remained till he was thirty 
years of age when he returned to 
this country. When he went he 
had an abundance of light curly 
hair. On his return his hair was 
abundant and curly but nearly 
black, so that his own mother did 
not know him and his own brother 
who went on board the steamer by 
which this gentlemen returned and 
hunted for him amongst the pas- 
sengers entirely failed to recognize 



Maternity. 3 

him though he stood close by him 
for some time, he was looking for a 
light-haired man. After ten years 
further residence in Bngland his 
hair had almost returned to its 
original light color. 

When the spermatozoon and the 
ovule meet and marry their inter- 
action comes to a complete organic 
union resulting in a new organism, 
thus of dual origin, and finding a 
suitable habitat in the womb sets 
up a connection with the mother. 
Here the maternal organism and 
the foetus interact with one another: 
the influence of the foetal organism 
upon the mother's organism is 
very curious: her breasts grow, 
her back widens, her shoulders 

broaden, her gait alters. Yet not- 

2 



4 Organs. 

withstanding the dependence of 
the foetns upon the mother and the 
maternal changes npon the foetns 
the two lead independent lives and 
may even have certain diseases in- 
dependently of one another. 

In this way we come np to what 
we may conceive to be the natnre 
of the physiological position of the 
varions organs of the body to the 
organism itself; what the macro- 
cosm is to the microcosm that the 
microcosm is to the separate organs. 

Although the crasis of all the 
fluids of the body and the stroma 
of all its organs and parts must in 
the main be about the same, both 
physiologically and pathologically, 
still there is a certain individual 
life and equality being inherent in 



Organs. 5 

each organ and part and I surmise 
that there are many kinds of blood 
corpuscles. 

For the present, confining our- 
selves to the organs only, we wish 
to enquire somewhat into the ques- 
tion of how and how far a given 
organ is to be considered therapeu- 
tically apart from the organism of 
which it forms a part and without 
which it has no existence. 

This idea has swam more or less 
before my mind for nianj^ years, 
and I have given expression to it 
in several of my writings, particu- 
larly in my " Diseases of the 
Spleen" and in the second part of 
this work, and its importance in 
my daily clinical work increases 
with time. 



6 Question of Dose. 

The question of the independent 
existence of the organ, or rather of 
the existence of a something in each 
organ (and I believe in each region 
and part) deserves the most care- 
ful study and consideration because 
of its bearing upon treatment, and 
upon the question of the dose, viz: 
whether to use high, low or me- 
dium dilutions, and this quite apart 
from organotherapy. 

On this peculiar something in 
each organ the Rademacherian 
practice of medicine is largely based 
but nothwithstanding its practica 
utility it has thus far not been 
scientifically elucidated so little in 
deed that but few regard it as o: 
any particular importance ; in fact 
we may say that it has barely an} 



Signatures. 7 

recognized existence at all. And 
yet there it is, and for a number of 
years has been of so much help to 
me in my clinical work that I feel 
impelled to dwell upon the subject 
here a little more at large. Brown- 
Sequard's work in the later years 
of his life has physiologically 
taught us that there is in the very 
deed a real "self" in each organ 
and that such organ has a func- 
tional importance for its organ- 
ism to whose entirety it belongs. 
The effects of spaying and castra- 
ting are well known and really 
prove the point so far as ovaries 
and testicles are concerned — this 
has been recognized all along. 
The old doctrine of signatures is 
laughed at by almost all physi- 
cians, inclusive of the homoeopaths, 



8 Signatures. 

and yet it is not without consider- 
able foundation in fact; and, in- 
deed, facts in great numbers may 
be drawn from homoeopathic liter- 
ature in support of its real practical 
value. It has often helped me and 
I have long since ceased to ridicule 
it. Of course, it can easily be 
turned upside down and made to 
look silly, but still there it is and 
in the long run will most certainly 
be justified by science. I am very 
certain Hahnemann believed in it 
for it is manifest that he drew very 
numerous indications from it for 
his remedies. That Constantine 
Hering also believed in it seems 
pretty certain, and Hering knew 
his Hohenheim, of whose works he 
made a splendid collection. Von 
Grauvogl, too, shows that he was 



Signatures. 9 

not uninfluenced by it. Rade- 
macher ever made merry over it, 
and yet many of his remedies came 
into use through it, Chelidonium 
to wit. Von Grauvogl years ago 
recommended Pulmones vulpecu- 
larum in asthma and I have fol- 
lowed his recommendation with 
advantage, he was laughed at a 
good deal at the time, but now 
science comes along and puts a 
stop to the ridicule so long cast 
upon Paracelsic organ feeding. 

There is a peculiar disease con- 
sisting in an enlargement of the 
hands and feet, face, head an ex- 
tremities, called Marie's Disease, or 
Acromegaly, with which and en- 
largement of the pituitary gland — 
is commonly associated — here it 



io Thyroid Gland. 

would appear that the nutrition of 
the extremities is directly influ- 
enced by the pituitary gland. The 
enlargement of the pituitary gland 
is said to be a true hypertrophy of 
its substance and not a neoplastic 
process. 

That the influence of the pitui- 
tary gland affects development and 
nutrition is also shewn by the 
other overgrowth and undergrowth 
tendencies connected with pituitary 
disease. 

The autonomy and hegemony of 
the individual organ is even more 
clearly demonstrated by modern 
research in regard to the thyroid 
gland. 

As is well known Goitre, or 
Derbyshire neck, is exceedingly 



Goitre. 1 1 

common in Switzerland. Some 
dozen years ago Dr. Kocher, of 
Berne, communicated to the Ger- 
man Surgical Congress the results 
of a hundred extirpations of Goitre 
and shewed that there arose in 
some of his observations an affec- 
tion consecutive to the total abla- 
tion of the thyroid gland which he 
described as cachexia strumipriva. 
In English medical language 
struma is synonymous with scrof- 
ula while botanists understand by 
struma the swelling or protruber- 
ance of any organ. In Central 
Europe struma is used as a syn- 
onym of Derbyshire neck and of 
other not necessarily strumous 
swellings. 

The next step was the recogni- 



12 Feeding Thyroid. 

tion of the similarity of the arti- 
fact cachexia strumipriva with the 
idiopathic malady known as myx- 
oedema and reasoning that inas- 
much as as the artifact disease 
arose in consequence of the total 
ablation of the thyroid it might be 
that myxoedema was likewise due 
to a lack of the thyroid organ- 
influence on the organism. Feed- 
ing the myxoedematous with ani- 
mal thyroids soon shewed that the 
reasoning was sound, and this 
nutritional therapeutics is now the 
recognized treatment of my xcedema 
due to simple thyroid atrophy. 
And very pretty it all is. 

Kocher finding that the total 
ablation of the thyroid led to myx- 
oedema afterwards modified his 



Operating. 1 3 

mode of operating and adopted the 
plan of leaving a portion of the 
gland capable of functional activity 
instead of totally ablating it. And 
lie tells us that he has since oper- 
ated on 900 cases of Goitre in this 
manner and in no case has any 
cachexia strumipriva supervened. 
Furthermore, Kocher has hunted 
up a number of his old cases of 
total ablation in whom the cachexia 
had appeared and fed them with 
thj^roids with the most satisfactory 
results. 

It has been found that overfeed- 
ing with thyroids acts poisonously 
upon the organism generally and 
specifically, and this will no doubt 
be called thyroidism, if it has not 
alread}^ received that name. 



14 Experimental Feeding. 

Lanz and Trachewski have made 
experiments with thyroid feeding 
under the immediate supervision 
of Kocher himself and produced in 
dogs mi tons les symptomes de la 
maladie de Basedow" and what is 
positively startling ' ' ce mode de 
traitement pent amener a la longue 
une atrophie complete des parties 
saines de la glande thyroide" ! ! 

Now, the fates are distinctly un- 
kind to our allopathic friends who 
had begun to score one by their 
cure of myxcedema with thyroid 
glands added to the food of the 
sufferers : the place of the atrophied 
thyroid being supplied by the thy- 
roid food, and here comes experi- 
mental science and shews that the 
thyroid feeding in the long run 



Thyroid Dose. 15 

contingently produces atrophy and 
not only atrophy, but complete 
atrophy of the healthy parts of the 
thyroid gland. So that in future 
the dose of the thyroid extract 
must be lessened because this new 
therapeutic acquisition of allopathy 
over which we homoeopaths had 
certainly become not a little jeal- 
ous, is after all not only pure 
homoeopathy but its symptomatic 
and pathologic homoeopathicity is 
demonstrated all ready for us in 
their own laboratories. Now our 
allopathic friends must do as they 
did in regard to tuberculinum, viz: 
admit the efficacy of small doses 
and with it the truth of the homoeo- 
pathic law, or officially drop the 
thyroid business, as they did with 
tuberculinum. They will go out 



1 6 Functions of the Liver. 

of the thyroid business in time 
confused by their own work, be- 
cause without the light of the 
homoeopathic law it must end in 
confusion. So after all Paracelsus 
was right in recommending his 
lung-to-lung and kidney-to-kidney 
homoeopathy, and the dignity of 
the organ has risen to university 
rank and fellowship. 

What I in this volume am really 
concerned with is the importance 
of the organ, its complete auton- 
omy and hegemony, as bearing on 
the diseases of the liver. 

The functions of the liver are 
too large a chapter for me now to 
touch upon, but the newest data of 
science in regard to goitre and 



Three Points. 17 

thyroid feeding bring out into a 
clear light these points :■ — 

1. That the organ in the organ- 
ism does indeed possess not only 
autonomy but hegemony, z. e. the 
organ is an independent state in 
itself and in and on the organism 
exercises an important influence. 

2. That both a plus and a minus 
of a given organ results in disease 
of the organism. 

3. That the organ-to-organ ho- 
moeopathy of Paracelsus is a scien- 
tific iact. 

And we thus see that organ- 
remedies by restoring the disturbed 
organ to health cures the organism 
itself. 

I have for years fought for the 



1 8 Organopathy. 

recognition of the organ in the 
organism from the clinical side and 
maintained that organopathy lies 
at the very root of homoeopathy in 
its simplest and most elementary 
form, and now that orthodoxy 
is officially proclaiming "organo- 
theraphy" (Paracelsic organ -to - 
organ homoeopathy) and now that 
physiologists firmly and faithfully 
believe that all the glands have a 
creative, formative, directing, con- 
trolling, nutritive, antitoximal in- 
ternal secretion, surely I need fight 
no longer the cause of the organ in 
the organism. 

By the way, it seems to me that 
Hale's Law of Dose is amply con- 
firmed by the clinical results of 
organotherapy, the law may not 



Org anopathy. 19 

be of universal application but it 
and it only, explains many of the 
phenomena of homoeopathic cures. 
Iron produces plethora and anaemia 
and who amongst us can deny the 
splendid cures of anaemia by iron 
in full dose? We all see them 
daily. And who would for a mo- 
ment think of using full doses of 
iron in plethora? and certainly we 
use with much advantage infinites- 
imal doses of iron for many symp- 
toms of plethQra. 

We may say that the full doses 
are nutritional only, but it seems 
to me that that is not all. The 
newer facts of organotherapy, pres- 
ently to come may, perhaps, clear 
the matter up^. 



PART II. 



The Diseases of the Liver: 

Jaundice > Gall-stones, 

Enlargements, Tumours, a?id Cancer, 

and their Treatment, 



JAUNDICE. 

TF anyone shall maintain that 
Jaundice is not a greater dis- 
ease of the liver, but a minor one, 
I shall reply, Then such a one has 
never had the curious complaint. 
Jaundice was the indirect efforts at 
independent thought in medicine ; 
it was in this wise: — A student 
was working with Professor H 



24 Jaundice. 

with the microscope while he had 
a bad cold in his head — in the hot 
trickling dewdrop stage — and find- 
ing that microscopizing nnder the 
circumstances was not an easy 
matter, he said to his professorial 
friend, u What's good for a cold in 
the head ?" 

"Oh," said he, " sniff up cold 
water into your nostrils — that'll 
cure it quickly." 

Studiosus set his microscope 
aside ; went home. Once there, 
forthwith sniffed cold water most 
diligently into his nostrils, and 
cured the said coryza there and 
then. A sweet cure ! as the sequel | 
shewed. 



Jaundice, 25 

The next da) 7 lie had the begin- 
ning symptoms of catarrhal jaun- 
dice, and in two days the affection 
was well-established. 

Professor H. was again con- 
sulted, and said he must give up 
hospital work at once, and take a 
holiday in the hills. 

Being conversant with all the 
facts of the case, it occurred to me 
that as catarrhal jaundice was due 
to a catarrh of the gall-ducts, just 
as the coryza was a catarrh of the 
nose, so if we could only get at the 
gall-ducts as readily as at the 
nostrils, we might wash them out 
also, and thus cure the jaundice, as 
the coryza had been cured. 



26 Colds. 

I have had a certain number of 
colds in the head to treat during 
the years that have since elapsed, 
but I have never recommended 
Professor H.'s plan of sniffing cold 
water into the nostrils, believing a 
catarrh of the nose to be less bad 
than a corresponding state of the 
gall-ducts. This simple narration 
really touches at the very founda- 
tions of all curing: The young 
man was not well; nature sought 
to rid his organism of something 
harmful to his organismic self; 
she set up a watery discharge from 
a small portion of the mucous 
lining of the body, near the sur- 
face and not otherwise too much 
functionally occupied. This hot 



Fluxes. 27 

running from the nose was really 
a curative expression of the organ- 
ism. (The young man had been 
long living and working in the 
most foul atmosphere of dissecting 
rooms and hospital wards.) The 
cold water stopped it (the flux, not 
the disease,) and then nature fell 
back upon the liver, as she so often 
does. 

Centrifugal fluxes and discharges 
should not be lightly stopped. 

Why the flux ? Whence the dis- 
charge ? Let the questions of the 
why ? and whence ? be answered as 
we go along. Here I merely insist 
upon the elementary truth that a 
morbid process having a, perhaps, 
time-honored name, may be never- 



28 Fluxes, 

theless no disease at all, but merely 
a means of cure set up by nature 
herself, and that there are diseases 
which it is disadvantageous or dan- 
gerous to cure, that is to cure in 
the sense in which the verb to cure 
is commonly used in English by 
the thoughtless. Of course to ef- 
fect a really radical cure of any 
primary disease can never be other 
than a gain to the individual. 



" Yaller Janders." 29 

Case of Catarrhal Jaundice 
cured by Cheltdonium majus. 

A good many years since I was 
summoned to see a country gentle- 
man for sudden indisposition. It 
was a rather tedious railway jour- 
ney, and a humble friend of the 
family, anxious to enlighten me, 
told me that the squire had the 
" Ye Her Janders" Yellow the 
patient was, indeed, and the colour 
was from jaundice! There were 
the usual sjanptoms — constipation, 
scanty urine of a dark yellow 
browny colour, and debility with 
depression of spirits. Chelidonium 
majus in small material doses, put 
matters right in a few days, leaving 
the patient, however, weak. 



30 Chelidonium. 

" What medicine have you been 
giving my husband ?" 

" A new remedy." 

" What's it's name." 

" Chelidonium majus" 

" What's the English of that?" 

" The greater Celandine." 

" Then it is not by any means a 
new remedy, for it is in my old 
Herbal, in which it is recommended 
for jaundice." 

And so it was: the use of the 
greater Celandine in jaundice has 
trickled down to us through the 
ages from the primary source of 
the doctrine of signatures. 

Of Chelidonium majus, I would 
say that it is in this country the 
greatest liver medicine we have, 



Chelidonium . 3 1 

and there is, in all conscience, no 
lack of hepatics. Some of my 
early success in practice was due 
to my use of Chelidonium. 

It came about thus: I went to 
see an important lady for a well- 
known physician in the north, he 
being too busy to attend, but said 
lady strongly objected to new 
doctors. She took a look at me — 
as I subsequently learned — from a 
position where she herself was in- 
visible to me, and did not like the 
look of me. So I was sent away 
with many apologies from the 
daughter. Her hepatalgia was 
easier just at that moment: she 
would wait till her own physician 
would come. 



32 Chelidonium. 

A few days later the pain in her 
right side became unbearable, and 
said physician again sent me. This 
time I was admitted and fonnd her 
in very great pain in the hepatic 
region: she had had it at intervals 
for very many years — abont thirty 
years, if I remember rightly. The 
liver was very mnch enlarged and 
the pains very acute ; there was no 
jaundice, the tongue mapped, 

I mixed some Chelidonium majus 
and had it given pretty frequently : 
it eased the pain more promptly 
than ever the pain had been re- 
lieved before, and finally cured it 
altogether. Her whole life was 
changed. To make amends for 
having refused to see me on my 



Chelidonium. 33 

first calling upon her she presented 
me with a piece of plate, and sent 
me subsequently very many of her 
suffering friends. 

So einflusserich was this vener- 
able dame that I feel her practical 
influence to this very day. 

This cure, and its gratifying re- 
sults to a struggling young doctor, 
fixed my attention a good deal 
upon Chelidonium, and upon liver 
affections, which are everywhere so 
common; and it has been my lot 
to relieve or cure a very large 
number of liver diseases — and from 
this wide experience I now write. 

My first real acquaintance with 
Chelzdonzum was from Dr. Richard 



34 Pharmacodynamics, 

Hughes's " Pharmacodynamics," a 
work to which I owe so much, and 
which I sincerely commend to all 
who wish to understand the actions 
of drugs. 

I would not be too sure of my 
botanic knowledge, but I have an 
idea that Chelidonium is the only 
plant, indigenous to this country, 
which possesses a yellow juice. 
That the colour of this juice led to 
its use in liver diseases on the 
lines of the doctrine of Signatures 
the historically competent will 
hardly deny. That it has a specific 
affinity for the great gall-organ 
anyone may verify for himself if 
he will take a few drachms of the 
mother tincture in divided doses. 
It is kindly and gentle in its ac- 



Rademacher. 35 

tion, which action is fully set up 
with only a very minute dose, but 
inasmuch as my more intimate 
knowledge of it comes to me from 
the Rademacherians, I have gen- 
erally used it in small material 
doses. 

It will be interesting to give 
Rademacher's experience with 
Chelidonium. 

He used it as an organ remedy, 
or in other words on the homoeo- 
pathic principle in its elementary 
form of specificity of seat* 

* I have entered so fully into the question of 
the identity of the organopathy of the Hohen- 
heimians and the specificity of seat of the 
homoeopaths, in my work entitled " Diseases of 
the Spleen and Their Remedies Clinically Illus- 
trated ' ' that I may fairly refer my readers 
hereto in lieu of going over the same ground 
again here. 
4 



36 Rademacher* s Use 

Rademacher's Use of 
Chelidonium. 

Rademacher, with the charming 
simplicity of really great knowl- 
edge, tells us in regard to Cheli- 
donium, that he had long despised 
it is worthless, and confessedly to 
his shame, for he remarks that it 
was a celebaated hepatic remedy in 
olden times. (See his Erfarh- 
rungsheillehre, p. 163.) 

He then enters into a long dis- 
sertation upon its action and comes 
to the conclusion that it affects the 
" inner liver." He says a physician 
need have no great experience to 
know that the disease of the liver, 



of Chelzdonzum. 37 

that in its perfected form shews 
itself as jaundice, has endless gra- 
dations that in every-day life and 
in medical speech are not regarded 
as jaundice. Still the very slight- 
est degree of the jaundice-affection 
shews itself in the urine by its pale 
gold colour, and in the skin, par- 
ticularly in that of the face, by its 
more or less dirty look. And 
where there is but little gall in the 
motions and no icteric discolour- 
ation of the skin, it follows that 
we have in such cases to deal with 
not merely an obstruction to the 
outflow of the gall into the duo- 
lenum, but with that unknown 
Drgan by which the gall is pre- 
Dared from the blood; this gall- 
tnaking organ is ill, so that bile is 



38 Radetnacher* s Use 

not duly prepared at all, and there- 
fore none can be either poured out 
or absorbed into the skin, or cast 
out by the urine. This is what 
Rademacher calls the " inner liver," 
not indeed as an anatomical ex- 
pression, but as a figure of speech 
to convey to the mind a more or 
less accurate and concrete concep- 
tion of the sphere of action of the 
Chelidonium majus. 

This conception of the true sphere 
of action of Chelidonium is, I think, 
correct. 

The cases cited by Rademachei 
are mostly " bilious fevers." 

Where the gall ducts are alone 
implicated he considers Nux vomica 
the right remedy. Hence CheliX 



of Chelidonium. 39 

donzum would be indicated in 
alcholia as well as in jaundice when 
the affection is primary to the 
" inner liver/' 

Rademacher's favorite mode of 
using it is the simple juice of the 
plant with just as much alcohol as 
will clarify and preserve it. His 
dose was at one time one scruple 
of his tincture a day, but in chronic 
cases of liver affections he subse- 
quently came down to two or three 
drops a dose, given four or five 
times a day. He even came down 
to one-drop doses diluted in half-a- 
cupful of water, till at last he 
thinks he might be accused of 
copying the homoeopathic posology 
of " Mr. Hahneman I" He tells us, 



40 Rademacher* s Dose 

however, (" Erfarhrungsheillehre" 
p. 176), that he first appreciated 
the curative value of small doses 
from Helmont,* who roused in his 
soul the thought that small doses 
of drugs might have great curative 
effects. 

But Rademacher confesses that 
he at first did not clearly perceive 
the importance of the small dose 
until he had got rid of his earlier 
and more gross views, and came 
from diligent observation to get 
concise views of primary organ- 
diseases as they really exist in 
nature. In a foot-note (p. 176) 
he protests that the small dose can- 
not be correctly spoken of as 



* Opera omnia, p. 552, in the chapter with the 
superscription Butler. 



of Chelidonium. 41 

"homoeopathic," but as being the 
property of Paracelsus, and refers 
to the eleventh chapter of the fifth 
book of Hohenheim's "Chirurg- 
ische Schriften," De Causzs et 
origine hits Galliccz, which he rec- 
ommends his readers to peruse at- 
tentively, and concludes thus . . . 
"wenn sie dieses gethan, werden 
sie wol nicht mehr von homoo- 
pathischen Arzeneigaben sprechen , 
sondern sie werden begreifen, dass 
die Wahrheit — unwdg und unmess- 
bare Arzeneigaben konnen, wenn 
das durch Krankheit vei'anderte 
Verhaltniss des Korpers zur Aus- 
senwelt sich dazu eigene, wunder- 
volle Heihvir kungen mtssern — mit 
der sogenannten homoopathischen 



42 The Small Dose. 

Theorie gar nicht in Beriihrung 

kommt." 

In other words . . . unweighable 
and nnmeasnrable doses of reme- 
dies can produce wonderfully cura- 
tive effects when the condition of 
the body in regard to its environ- 
ment have been altered by disease 
and thus rendered susceptible 
thereto, and thus have nothing at 
all to do with the so-called homoeo- 
pathic theory. 

But this only by the way, I am 
writing of the Diseases of the 
Liver ; still it is pretty evident 
that Rademacher in his later days 
had become conscious that his 
own practice and teachings were 



Homoeopath-wards. 43 

leading hiin, nilly- willy, homoeo- 
path-wards. 



44 Enlci7 r ged Liver. 



Case of Enlargement of the 

Liver with Jaundice cured 

by Chelidonium. 

A lady of seventy, stout, and 
given to very little exercise, came 
under my observation, and on ex- 
amination I found her severe and 
frequent right-sided pains were 
due to a swelled liver, which was 
tender in pressure. Skin and con- 
junctivae subicteric, motions con- 
taining but very little bile ; urine 
on the contrary loaded with it. 
She was at the seaside and this it 
was, she said, that had upset her 
liver. Tongue coated, giddy, low- 
spirited, pulse intermittent, in- 



Chelidonium. 45 

somnia, lethargic, loss of appetite, 
fear of death. 

Chelidonium majus in small ma- 
terial doses resulted in complete 
recovery in ten days, when she re- 
turned home with a regular pulse, 
clear eyes and skin, and all the 
functions normal, and very de- 
cidedly of opinion that life, even at 
seventy years of age, is not at all 
a bad thing. 



Enlarged Liver and Conges- 
tion of the Right Lung, 
cured by Chelidonium. 

A young officer in the Army was 
invalided home from India for liver 
and lung disease and came to me. 



46 " Inner Liver" 

I found his liver large and tender, 
tlie right lung engorged, his skin 
very muddy, bowels costive, and 
he was dreadfully depressed and 
weak. He was quite sure he was 
in consumption. The lung affec- 
tion I regarded as consecutive to 
the engorgement of the liver, there 
being, in the words of Rademacher, 
a primary affection of the " inner " 
liver. Chelidonium in small mate- 
rial doses quite restored him to 
health in three weeks. In due 
course he returned to his regiment. 



Jaundice, 47 



Case of Pronounced Jaundice 
CURED by Chelidoniiim. 

A middle-aged gentleman, a 
merchant, returned from the Kast 
Indies with very severe jaundice, 
which had resulted in considerable 
emaciation. The voyage home and 
a stay of some duration in the 
north had not mended matters. 
He was very depressed in spirits, 
almost the colour of mahogany, 
and the urine was very scant-and 
brown-yellow. His bowels very 
constipated. 

How quickly and pleasantly he 
was cured, he even now never tires 
of telling his Manchester friends. 



48 Jaundice. 

I might tell of a lady who had 
severe and long-lasting jaundice 
and who was speedily cured by 
Chelidonium, and of a notable 
number of other cases of liver af- 
fections cured by it, but it is need- 
less. What I have already narrated 
will suffice. 

I would, however, just dwell upon 
the fact that Cke/tdomum will very 
frequently cure engorgements of 
the right lung even when it is a 
concomitant of true phthisis, but it 
has no influence over the general 
phthisical state, other than what 
pertains to, and results from, the 
lower half of the right lung and 
liver. As an intercurrent remedy 
in the hepatic complications of 



Not a Cure-all. 49 

phthisis it is capable of rendering 
important service. 

Likewise as an intercurrent rem- 
edy in gall-stones it is useful, as is 
also Myrica cej ifera, but both stand 
far behind Hydrastes in this affec- 
tion. 

My own conception of its true 
seat of action is that it affects the 
liver cells : Rademacher's " inner" 
liver. 

There are numerous affections of 
the liver that Chelidonium will not 
touch curatively at all, and there- 
fore it must not be regarded as a 
liver cure-all, which it is not. 



50 Chelidonium and 

For instance, it affects the left 
lobe of the liver much less than 
does Carduus Marice, to a consider- 
ation of which we will proceed 
after having first given a short 
account of Rademacher's use of 
a combination of Chelidonitim and 
Calcarea muriatica. 



Radkmachkr'S Usk OF Chelidonium 
and Liq. Calcarice muriat. 

Our author tells us he is con- 
vinced that there exists in nature 
a liver disease that can only be 
cured by a mixture of Chelidonium\ 
and Liq. Calcarice muriat. 



Liq. Calcaricz Murzat. 51 
This is his formula: — 

R Liq. Calcariae muriat., §ii. 
Tinct. Chelidonii, 3L 

M. 

He administered fifteen drops in 
half-a-cupful of water five times a 
day. With this he cured many 
cases of grave fevers and hepatic 
affections that did not mend with 
either remedy by itself, but he tells 
us he knows of no reliable or char- 
acteristic indications for its choice. 



I might add that muriatic acid 

once had a seemingly well-founded 

reputation as a liver remedy ; and 

some still esteem it highly. 
5 



52 Carduus. 



The Curative Sphere of Carduus 

Marice in LjvER, Spleen, and 

Abdominal Affections. 

Certain remedies have very lim- 
ited special spheres of influence 
and our power to cure diseases is 
largely conditioned by our knowl- 
edge of such spheres. I am in- 
creasingly impressed with the 
importance of knowing where the 
remedy acts by special elective 
affinity. As I have dealt with 
spleen affections by themselves, 
without making any special refer- 
ence to Carduus marice (the seeds 
are the officinal part), I will at 
once exemplify its action here. 



Liver and Spleen. 53 



Enlargement of Liver and 

Spleen Cured by 

Cardnns. 

A young lady, of sixteen sum- 
mers, was brought to me by her 
mother on the seventh of Septem- 
ber, 1887, for severe attacks of 
vomiting that had lasted for three 
months. She was often roused 
rudely from her sleep in the morn- 
ing with an attack of vomiting. 
Her constitution had been dam- 
aged by diphtheria, and eighteen 
months previously she had had 
varicella. I treated the case symp- 
tomatically with great relief to the 
vomiting, but the pains in the 



54 Liver and Spleen. 

abdomen became rather worse than 
better. 

After I bad given her my old 
favorite Nat. mur. 6 she was still 
further improved, but there th< 
thing still was : I had relieved the 
symptoms but I had not cured the 
real primary seat of the same. I 
then did what might with advan- 
tage have been done before the 
treatment was begun, viz : I made 
a careful physical examination of 
the bare epigastrium and of the 
two hypochondria. With what 
result ? The note in my case book 
taken at the time will enlighten 
us ... . " Liver and spleen both 
very much enlarged so that they 
seem almost to fill the abdomen." 



Carduns. 55 

Here I had to do with the severe 
and long-lasting vomiting which 
yielded partially to close symp- 
tomatic treatment but would not 
get quite well .... (Oh, how 
often are we in this unsatisfactory 
state) ; and a physical examination 
revealed the reason of my failure. 
I had treated the case with reme- 
dies that were homoeopathic to the 
superficial symptoms, but NOT 
homoeopathic to the cause of those 
symptoms; the degree of homoeo- 
pathicity was not adequate though 
it went a long way towards it. 

Here I fell back upon my Rade- 
macherian experience with Car- 
duus and gave five drops of the 
matrix tincture in a tablespoonful 



56 Liver and Spleen. 

of water, night and morning, and 
this cured the enlargement both of 
Spleen and of Liver, and as this 
enlargement was the cause of the 
pains and vomiting, of course pains 
and vomiting likewise disappeared. 

The only further abnormality 
which I could discover in the young 
lady after taking the Carduus 
marice for about five weeks was an 
indurated condition of a few of the 
cervical glands of her left side : the 
side on which she had been vac- 
cinated; Thuja occidentalis 30, in 
infrequent doses, cured these and 
patient has had no vomiting or any 
of its concomitants since. She 
continues well to date. 

Although my own prescription 



Carduus. 57 

of Carduus was from pure experi- 
ence, there can be hardly any doubt 
that an adequate proving would 
shew its homoeopathicity to the 
case, inclusive of the enlargements 
of liver and spleen. 

Riel's proving of Carduus shews 
it to produce pathogenetically : 
" nausea, uneasiness, pain, vomit- 
ing, with inflation of the abdomen, 
fee." 

The generally improved appear- 
ance of the young lady after she 
had been a month under the Car- 
duus was very striking, and repeat- 
edly remarked upon, by friends 
who were not acquainted with the 
circumstances of her ill-health and 
its treatment at all. 



58 Carduus. 

The kind of liver enlargement 
wliicli Carduus cures is in the 
transverse measurement. 

By way of comparison I will now 
quite shortly exemplify the kind of 
enlargement of the liver which is 
cured by Chelidonium\ it will be 
seen that the comparison is crude 
and mechanical, yet withal, I sub- 
mit, not without practical value. 



Chelidonium. 59 



Enlargement of the Liver in 

the Perpendicular Line 

cured by Chelidonium. 

An independent gentlemen of 
thirty, usually resident in Paris, 
came over to London to consult 
me in the early part of the year 
1886, and that for his liver and 
for dyspepsia. He had twice had 
jaundice in previous times. His 
symptoms were waterbrash, indi- 
gestion, constipation, attacks of 
intra-abdominal chilliness ; he was 
very dusky, his urine had a strongly 
urinous smell. His liver reaches 
almost up to the right nipple. 



60 Perpendicular Line. 

An ounce of the tincture brought 
the liver back to the normal; the 
dose was five drops in water, two 
or three times a day, and some- 
times once a day. But altogether 
he consumed nearly an ounce. 

This is the kind of hepatic 
enlargement which Chelidonium 
rights in small material doses. But 
it did not restore the patient to 
complete health; why? For the 
simple reason that the increase in 
the perpendicular measurement of 
the liver was only a part of his 
complaint, the other bearings ol 
the case being foreign to my pres- 
ent thesis. Suffice it to say that 
his liver was cured by the Cheli- 
donium, and patient continues well 



Organ Remedy. 61 

in these (and now in the other) 
respects to the present time. 

It is well to realize that an organ- 
remedy while capable of cnring an 
organ-disease, and all the concomi- 
tant S}^mptoms which arise from 
the organ-disease, nevertheless can 
in the nature of things not cure 
the concomitant symptoms in the 
patient when these symptoms stand 
in no nexus with such organ-dis- 
ease. Thus I treated a young lady 
for a liver disease and gave her 
successively Cardials, Chelidoninm, 
Natrnm sulphuricum, Taraxacum. 

She had a mapped tongue and 
vomiting, with headaches and 
squinting. The liver was reduced 
to its right dimensions and the 



62 Perpendicular Line. 

vomiting was cured, but the map- 
piness of the tongue remained, and 
patient did not feel well. But 
the tongue became normal after a 
month of Thuja 30. She had 
headaches which she herself termed 
bilious and the others neuralgic, and 
there was a third kind of headache 
called by another name and which 
seemed distinctly connected with 
the squinting. The bilious head- 
aches ceased after the use of the 
before-mentioned hepatics; the neu- 
ralgic headaches continued till after 
the Thuja, and disappeared simul- 
taneously with the mapped state of 
the tongue. The squint-headaches 
she still gets, and remedies like 
Glonoin and Gelsemium do them 
good. 



Appropriation Paracehi. 63 

From these considerations it is 
manifest that there are cases that 
cannot possibly be cured by one 
remedy and inasmuch as the symp- 
toms form part respectively of 
groups of different causations, cov- 
ering the totality of all the symp- 
toms present in the patient would 
be a useless and fruitless task. 
Hence it is that Rademacherian 
organ-testing helps me so much in 
my e very-day practical clinical life; 
for, if I cure an organ with its 
Appropriation Paracehi, and cer- 
tain symptoms go while others 
remain I am enabled slowly to un- 
ravel the most complex groups of 
symptoms and finally find a simile 
or even the simillimum of the 
ground-evil. 



64 Organ States. 

The adage Naturam morborum 
ostendunt curationes also comes in 
here as an auxiliary. With me it 
is an axiom to relieve uncomfort- 
able or dangerous organ-states with 
simple organ-remedies as promptly 
as possible, leaving the more re- 
mote and deeper- going to be after- 
wards considered, and treated, if 
possible, with its pathological si- 
millimum, or else astiologically , say 
according to Hahnemann in his 
Coethen phase. 



Cardials. 65 



Carduns Maria in its Relation 
with Liver and the Skin. 

Perhaps it would be more correct 
to think of the matter as twigs of 
the same branch. Thus in my 
small work on the Skin* I men- 
tion the seeming connection be- 
tween the cutaneous surface of the 
sternum and other internal affec- 
tions, notably of the left lobe of the 
liver therewith. 

Subsequent experience has 
taught me that although the 
Carduus cures these cases very 
prompt^ and indeed brilliantly, 

* ' ' Diseases of the Skin from the Organismic 
Standpoint . ' ' — London , 1 886 . 



66 " Sternal Patch." 

still the cutaneous eruption is apt 
to recur. In support of this con- 
nection; or, perhaps, it might be 
wiser to say concomitancy, I there 
give some Carduus cases thus :— 

The u Sternal Patch." 

One often meets with liver affec- 
tions connected with cutaneous 
manifestations. 

I would like particularly t o refer 
to a patch of eruption on the skin 
covering the lower part of the 
sternum which I have several times 
found co-exist with heart disease 
and swelling of the left lobe of the 
liver. In my case-takings r call it 
the " sternal patch." 



Carduus. 6j 

I have four such cases in my 
mind at this moment, the first I 
will narrate is that of a mayor of a 
large town in the north : — He had 
a patch of brownish eruption on 
the sternal portion of thorax of the 
size of a woman's palm; with it 
were associated an enlarged liver 
and a cardiac affection evidenced 
by palpitation, systolic murmur, 
and general uneasiness. He came 
to town to see me at odd intervals 
for about two years, and was then 
discharged cured. He has passed 
under my observation since, but 
though his liver gives no trouble 
the same cannot be said of his skin, 
and he has moreover pyorrhoea 
alveolai'ts. 



68 " Sternal Patch." 

I treated him antipsorically and 
organopathically, the most notable 
benefit being derived from Carduus 
maricz in five drop doses of the 
strong tincture given three times a 
day. 

The second I remember was a 
Manchester merchant, with the 
same kind of cutaneous patch on 
the sternum, and very notable 
heart trouble with arcus senilis as 
a concomitant. Here the ease and 
comfort brought by the Carduus 
maricz were very striking. Under 
date of January 31, 1883, I find in 
my case book these words of the 
enthusiastic patient — "It had a 
most marvellous effect, soon made 
me right; the patch went away 



Carduus. 69 

in a fortnight; had had it for 
years." 

This gentlemen has remained 
under my care, calling upon me at 
odd times when in town, and dur- 
ing the past two years has had 
besides the strong tincture of Car- 
duus, Bellis pe remits 1, Attrum 
Metallicum 4, Vanadium 6, and 
Acidum oxalicum 3*, and some 
other remedies, and I consider him 
vastly improved, and his life — 
speaking commercially — worth 40 
per cent, more than previously. 

The third case was that of a 
New York merchant, who suffered 
from liver and had come over to 
Europe to consult a physician, as 
he seemed to get no better from 



7<3 Carduus. 

the treatment of his New York 
advisers. I found his liver very 
much enlarged, and also the before- 
mentioned sternal patch of skin- 
disease. I gave him Carduus in 
like dose to the foregoing, and he 
came in a week declaring himself 
quite well. I advised him to re- 
main awhile under observation, to 
see if the cure proved permanent, 
but he hurried out of my room in 
great glee, and I never saw him 
again. 

The fourth case in which I found 
the sternal patch and enlarged 
liver, giddiness, and palpitations 
of the heart was that of a London 
lawyer. Here the liver got well, 
and the heart too, together with 



( l Sternal Patch? ' 7 1 

the giddiness, but it needed a course 
of antipsoric treatment to finish 
the cure of the patch of diseased 
skin. I might say the same of a 
fifth case, an officer in the Royal 
Navy, where this patch co-exists 
with hypertrophied liver, and in 
which the affair has a specific air 
about it, probably inherited, and it 
may be that when Sarcognomy is 
better understood, and when the 
relations of the various cutaneous 
regions will be recognized as con- 
stituting the ver}^ base of medi- 
cal and medicinal diagnosis, this 
sternal patch will be understood to 
indicate " liver and heart." 

But the following Case cured 
by Carduns is also instructive in 



72 Carduus. 

considering its relationship to skin 
and liver. 

A city merchant, thirty years of 
age, unmarried, came to me in 
May, 1888, for windy dyspepsia, 
the probable ground-work of which 
proved to be an enlargement both 
of liver and spleen, and he had 
amongst other things very numer- 
ous sebaceous cysts strewn about 
his body, looking for all the world 
like the malva seeds (cases), chil- 
dren call cheeses. 

At first I gave Ceanothus Amer- 
icanus, believing it to be primarily 
a spleen affection, and then Pul- 
satilla, but they did no great good; 
when Carduus, given for a little 



Carduus. 73 

over a month, brought the liver 
back to the normal and all the wee 
wens were gone. 

The enlargement of the liver 
and the wens disappeared simul- 
taneously, but the genuinely causal 
nature of both was neither hepatic 
nor cutaneous : That was scrofula. 
But as scrofula can only be treated 
in its manifestations, he who treats 
such manifestations successfully 
cures it. The general improve- 
ment under Cardials was most 
striking and lasting: patient got 
quite well and has since happily 
married. 

E. Stahl speaks in his Disserta- 
tions most highly of Carduus in 
those inflammations of the chest 



74 Carduus. 

which are accompanied by gall 
fevers, and it was from him that 
Rademacher first learned its nse 
and never ceased to prize it, nota- 
bly in blood spitting from liver and 
spleen engorgements. No remedy, 
he declares, in our whole drug 
store can compare to Carduus 
when there are stitches in the side 
with bloody expectoration. He 
recommends his readers to note 
well where the last trace of pain is 
felt as it dies away, as that is 
likely to be the primary seat of the 
real disease. 



My r tea Cerifera. 75 

Case of Jaundice in a New- 
born Babe Cured by 
Myrica Cerifera. 

An able accoucheur attended a 
lady who bore a jaundiced babe; 
said he, "I cannot give that wee 
thing any medicine, so } t ou had 
better send for your homoeopath 
(meaning me), as he can give some 
of his 'pips'!'' This was done 
and pilules of Myrica cerifera 3 X 
(crushed into a powder and rubbed 
on the baby's tongue) rapidly 
cured him, and he at once began 
to put on flesh, and has thriven 
ever since. Before taking the 
Myrica he was very weedy, thin, 
and leathery-looking. 

Myrica cerifera is one of the 



76 Mynca Cerifera. 

very valuable additions to our 
materia medica that have come to 
us from America. I have often 
used it in liver disease, notably in 
bad cases of jaundice, with striking 
success; it produces jaundice in 
the healthy pathogenetically, and 
is very searching in its action. It 
was the great American Samuel 
Thomson, the botanic practitioner, 
who brought it into notice. A pale 
green wax is obtained from its 
berries, and hence it is called ceri- 
fems, or wax-bearing. Its powdered 
bark was Thomson's " canker 
powder," and he advised it in all 
discharges from the mucous sur- 
faces, especially in leucorrhoea, 
dysentery, and nasal catarrh. 



Myrica Cerifera. 77 

Dr. Leland Walker's proving, 
as given in " Hale's New Rem- 
edies," shews an accurate picture of 
severe catarrhal jaundice ; we are, 
therefore, on indisputably scientific 
ground when we prescribe Myrica 
for catarrhal jaundice. No wonder 
that the old American botanists 
practised w r ith so much success. 
That Thomson was a close and 
accurate observer may be seen 
from the fact that he commends it 
to " disengage the thick viscid 
secretions of the mucous mem- 
brane," for we find Walker's patho- 
genetic Myrica-catarrh was of the 
same viscid quality ; he says : 
" throat and nasal organs filled 
with an offensive tenacious mucus." 



78 Leptandra. 

IvEPTANDRA VlRGINICA 

Is another valuable contribution 
from America, effecting the liver, 
mucous membrane, lungs, and 
pleura. Roughly , it is the mercury 
of the eclectics. It has never been 
a favorite of mine, simply because 
I have not needed it, inasmuch as 
it closely resembles Cheltdonium 
in its effects. I once saw Dr. 
Reginald Jones, of Birkenhead, 
make a brilliant cure of a severe 
case of right-sided pneumonia with 
it — its prompt, decisive, curative 
action was unmistakeable. 

In the lazy livers of city men, 
I have used Leptandrin 3 X in six- 



Sanguznaria, Podophyllum. 79 

grain doses with great satisfaction 
to the patients. 

Sanguinaria Canadensis is, in 
truth, a liver medicine, but not 
primarily or principally so, and is 
too great a remedy to be mentioned 
only in passing. 

Podophyllum peltatum is a 
great liver remedy, and has been 
greatly abused. Its use in " torpid 
liver " is not good practice, and 
has done much harm. Its true 
scientific homoeopathic use is in 
diarrhoea from overflowing bile, 
with much irritation, and even 
inflammation of the gut. It once 
stood me in good stead in a case 
of diarrhoea that threatened to end 
fatally — at any rate the allopathic 



80 Podophyllum. 

family adviser had informed the 
lady's husband that he considered 
the patient would not recover, as 
nothing would check the diarrhoea, 
and the lady was seemingly sink- 
ing. I was telegraphed for and 
had to travel nearly 200 miles. 
On arriving, the family physician, 
although he had given the patient 
up as past recovery, declined to 
meet me because of nry homoeo- 
pathic creed, and this although he 
professed to be a friend of the 
family, and only lived two doors 
off. The stools were foul smelling, 
hot, bilious, excoriating, and passed 
out of the anus in a constant 
dribble. The patient had become 
too weak to be raised or even 
adequately helped, and things had 



Podophyllum. 81 

o be just left. I studied the ease 
a short time, and finally decided 
upon Podophyllum 6. The next 
evening patient was convalescent, 
and I returned to town. The 
cure was complete and permanent. 
When the family physician had 
heard of my departure, he returned 
and very kindly watched the case 
: or me, still giving my remedy. 

?Why," said he, "Podophyllum is 
one of our allopathic medicines it 
is not a homoeopathic medicine at 
all; they have stolen it from us." 

The poor ignoramus still knows 
not that the use of the remedy, i. 
e., the principle on which it is used, 
is the point at issue. 



8 2 Dr. Grundy. 

It might be asked, why would 
this dapper medico not meet the 
writer over a supposedly dying 
patient, and would yet accept the 
more humble position of merely 
watching the case and giving my 
remedy after I had departed ? 

It was thus : He and another 
doctor in the place each consid- 
ered himself the first man there; 
and if his rival had heard that he 
had met a homoeopathic practi- 
tioner in proper consultation, he 
would have been denounced for 
unprofessional conduct, and his 
status lowered in the eyes of 
dear Mrs. and Dr. Grundy. He 
declared to the family that he 
personally should have been de- 



Picric Acid. 83 

lighted to have met me, but that 
he had to consider his own posi- 
tion, 

Such is medical life here in 
Kngland to-day. Still, for all that, 
Podophyllum 6, humanly speaking, 
saved the lady's life; and I, having 
done my duty, have therein my 
reward, and I thank God for the 
privilege. 

In the debility from jaundice 
I have found Picric acid very 
helpful. I have commonly used it 
in the third dilution. 

I have found the Brassica 
murialis, which Dr. Heath tells 

me should be called Diplotaxis 

7 



84 Gallstones. 

tenuifolia, of good service in the 
lazy livers of relaxing climates , 
when patients feel as if they could 
scarcely crawl about from sheer 
goneness. It is homoeopathic to 
such, as I know from a fragment- 
ary proving made by myself in 
1874. 



Gallstones. 

In the treatment of gallstones 
we have to consider the attacks of 
gall colic and the treatment of the 
stones themselves when they lie in 
the gall bladder giving no one any 
trouble. I have treated gallstones 
and gallstone colic a good many 
times with hepatics of various 



Gallstones. 85 

kinds, and have found myself best 
in the painful attacks with Hydras- 
tis Canadensis, originally given 
from a suggestion of Dr. Henry 
Thomas. A great many remedies 
stand in good repute for the treat- 
ment of this almost unique com- 
plaint. I have used as much 
as ten-drop doses of the strong 
tincture of Hydrastis, given every 
half-hour in very warm water, and 
known it to succeed in a few hours 
after everything had failed. In 
one case the patient had lain for 
40 hours in terrible agony, un- 
relieved by any known thing. It 
is odd that people who have been 
taking Hydrastis, not infrequently 
think they have been taking 



86 Gallstones. 

Opium. After the attack of pain 
is over, it is best to set about 
curing the liver itself by a long 
course of homceopathically-indica- 
ted remedies, whose names are 
legion ; for it must be manifest 
that gallstones are a secondary 
affection, due to a previous con- 
dition either of the liver or of the 
gall, or of the gall-bladder, or of 
the linings of the ducts. In some 
cases I have thought the whole 
state had started originally in 
catarrhal jaundice. 

My own procedure I will ex- 
emplify by narrating a case in 
point at some length. 



Gallstones. 87 

Case of Gallstones and 
Organic Disease of Liver. 

A lady of fifty years of age came 
under my observation early in the 
year 1888 with a very muddy 
complexion, subicteric whites of 
the eyes. She suffered very much 
from acidity and also from vomit- 
ing. 

She told me she had been a 
sufferer from her liver for many 
years ; severe bilious headaches 
and dyspepsia. She had been 
mercurialized for her liver till all 
her teeth fell out, and now her 
digestion had given in almost 
completely, and she had become 
so thin that her appearance was 



88 Gallstones. 

quite cachectic. She had got so 
frightened of anything bringing 
on her attacks of gall colic that 
she avoided almost every article of 
food. 

Owing to her great emaciation 
and trim build I was able to make 
the diagnosis of gallstones from 
actually feeling them, a thing I 
am very rarely able to do myself. 
The region of the gall-bladder 
was, however, so tender that a 
very little feeling with my hands 
was as* much as she could bear. I 
treated her for close upon two 
years, and then she was a plump, 
bonny woman, enjoying her life 
and dining out with her friends. 
Her skin had become compara- 



Gallstones. 89 

tively healthy looking, though not 
as clear as a healthy English 
lady's generally is. 

I chose the remedies on homoe- 
opathic indications, and here and 
there as Rademacher would have 
done ; and, when I the last few 
times examined the region of the 
gall-bladder, I entirely failed to 
find any stones. 

She had the following remedies 
seriatim, Ignatio amara i x , Cheli- 
donium i x and #, Nux vomica / x , 
Cholesterine 3 X , Hydrastis Can. ( P, 
Thuja occ. 30, Sanguinaria Can. 0, 
Carduus maricz #, and Bilirubin. 
5. All these remedies did their 
portion of the good, and were given 
as they were indicated. 



90 Gallstones. 

I have rarely seen a more satis- 
factory cure of a difficult, almost 
desperate, chronic case, and quite 
as rarely had a patient, with a 
worse family history. Which 
remedy cured the patient ? All of 
them. 

There is a Carduus case that 
should have come in earlier on, 
but I had mislaid the MS., and as 
it is short I will add it here, and 
principally because it neatly ex- 
emplifies the Carduus action. Five 
years have elapsed since the pa- 
tient was cured, and there has been 
no return of any of the symptoms, 
and he has continued otherwise in 
uninterruptedly good health. 



Hypertrophy. 91 



Hypertrophy of Left Lobe of 
the Liver; Slight Hyper- 
trophy of the Heart; 
Sternal Patch. 

On January 27th, 1885, a j^oung 
gentleman, twenty-one 3-ears of 
age, and who had long been ailing 
of no one seemed to know what, 
was sent by his father to me " to 
be thoroughly overhauled and put 
right." The overhauling disclosed 
slight enlargement of the heart, 
considerable enlargement of the 
left lobe of the liver, and a very 
prominent sternal patch. Patient 
complained of suffering a good deal 
from giddiness. 



92 Gallstones. 

5? Carduus marice $, five drops 
in water night and morning. 

He was discharged permanently 
cured in six months. During a 
considerable portion of the time he 
was taking the Carduus, winch 
quite set heart and liver right, but 
the sternal patch I had to cure 
nosodically, of which . . . une 
autre fois. I often see members of 
this gentleman's family, including 
his parents, and know, as I said 
just now, that he has continued 
well ever since. 

We will now return to gall- 
stones. 

An elderly lady came under my 
observation early in the summer 



Gallstones. 93 

of 1888, for gallstones, character- 
ized by frequent recurrent attacks 
of jaundice, colic, and vomiting, 
with the usual agonizing pains. 
She was under me a good many 
month — about eighteen, if I re- 
member rightly — and then dis- 
continued her treatment, and has 
since continued well. I strongly 
urged her to go on longer, lest 
there should still be present the 
remains of the old colic causing 
stones, but to no avail. Why 
should I continue taking medicines 
when I am well? 

She had in succession (and 
several repeatedly) , Kali bichromi- 
cum, Carduus maricz, Hydrastis 
Canadensis, Primus Virginiana, 



94 Gallstone Colic. 

Cholesterine, iodoformum^n$i. final- 
ly Ferrum picricum 3 X . Tlie last 
named medicine does capital ser- 
vice in bilious debility. 



Case of Colic from Gallstones. 

A middle-aged gentleman 
brought bis wife to me three 
years since to be treated for gall- 
stones, and the usual attacks of 
colic with vomiting, that came on 
at odd intervals, from known and 
unknown causes. Patient had 
been long under their own doctor 
in the country, but to no good 
purpose; in fact, a chronic pain in 
the right side had been superadded 
to the before-mentioned colic at- 



Gallstone Colic. 95 

tacks, and patient had lost flesh a 
good deal. She paid me visits once 
a month for many months, nntil 
she was quite well and in a 
thoroughly thriving condition. 

However, I told the husband 
that I did not think the biliary 
calculi were really entirely gone, 
and that I thought it would be 
wise to continue with the use of 
gentle gall-medicines till we had 
sounder ground for believing that 
there would be no further relapses. 

But patient seemed and looked 
in such capital health that there 
really seemed, from their stand- 
point, no reason for continuing my 
treatment, so my warning was not 
regarded. 



g6 Gallstone Colic. 

The remedies that helped sc 
brilliantly in this case were Hy\ 
drastts, Carduus, Chelidonium andl 
Berberis, and two or three others! 
which I have not noted. 

It must be fully a year since I 
saw any of the family, but this 
morning I was prescribing for her 
brother-in-law, who told me that 
she is now lying in the country 
very ill with gallstones, and her 
attending physicians consider her 
case hopeless. So all experience 
goes to show that the after-treat- 
ment of gallstones should be 
carried on for a very long time, 
so as to get rid of the disease 
altogether. Iyong delay at the 
printers' enables me to add that 



Gallstone Colic. 97 

after having been thus given up, 
this lady again placed herself under 
iny care, and has at last completely 
recovered her health, Euonymin 
md Thlaspi bursa pastoris 4> hav- 
ng helped most. 

How the biliary calculi are dis- 
solved I am unable to say; that 
they are eventually really and truly 
ot rid of by dissolution I infer 
from the fact that the sufferers get 
well and remain so. 

It might be asked: What is 
your indication for Bursa pastoris 
in Gallstones? 

Answer: When the original 
liver-ailing started primarily from 
the womb. I will refer to this 
again. 



98 Biliousness. 

Chronic Biliousness and Emaci- 
ation Cured by Che/zdonzum. 

A strumous gentleman, about 
thirty years of age, came over 
from Ireland to consult me with 
regard to loss of flesh, dyspepsia, 
and biliousness. He was over six 
feet in height, and only weighed 
ten stone. Hair reddish; thorax 
flat; pronounced venous zig-zag; 
digestion very weak; poor appe- 
tite; a brownish rash across the 
epigastrium; cannot digest vege- 
tables. 

The state of the liver led me 
to prescribe Chelidonium 1 ; five 
drops in water night and morning. 



Biliousness. 99 

Under this prescription (with 
:he same diet, occupation, and 
lace of abode as previously), he 
ncreased five pounds in weight in 
thirty-two days. In six months 
he had reached 10-stone 12 lbs. in 
weight, and he long after reported 
to me that he had " remained in 
very good health, indeed." Besides 
3eing for some months under the 
influence of Chelidonium, he had 
inter-currently also Badiaga 3* 
and Psorinum 30, each during one 
month. 

The state of the skin caused me 
to interpose Psorinum, and some 
symptoms of indigestion led me to 
give the Badiaga. 



ioo Enlargement of Liver. 

But the strikingly great ame- 
lioration set in first under the sole 
influence of the Chelidonium, but 
this remedy did not extend its 
influence far enough or wide 
enough, and hence it had to be 
supplemented by the other two, 
but with the spheres of action of 
them we are here not concerned. 



Enlargement of Liver, 

producing Shortness of Breath 

and Palpitation, cured by 

Chelidonium majus 3 X . 

Some years since a retired mer- 
chant, sixty -eight years of age, 
consulted me for a supposed affec- 
tion of his heart. He complained 



Enlargement of Liver. 101 

of obesity, fulness in the stomach, 
violent perspirations on moving 
about — so much so tbat he was in 
the habit of changing shirts during 
the forenoon already; feels puffy 
on going up a hill ; loses his breath 
from the stomach on the least hurry. 
Has a fresh healthy look. No ar- 
cus senilis. Is very active, and 
takes a good deal of exercise. 

After taking twenty drops of 
Chelidonium maj. 3 X per diem for a 
few weeks I noted, at his dictation: 
The pufiiness is much better ; I 
can walk with greater ease ; I feel as 
if something were gone from me." 
That is to say, his swelled liver 
had gone down and there w^as more 
playroom for his lungs and heart. 



102 Enlargement of Liver. 

He weighed 15-stone 9 lbs., and 
under the action of Chelidonium 
this came down to 15-stone 6 lbs. 

He afterwards had Chelidonium 
1, and also Euonymin 3*, and after 
15 months' treatment he had gone 
down one stone in weight, and was 
able to go up hill and upstairs 
with comfort. 

I saw him a year ago for neural- 
gia, when Silicea 200 was follow- 
ed by the disappearance of the 
neuralgia. 



Gallstone Colic. 103 

Case of Gall Colic cured by 
Myrica Cerifera 3 X . 

In the year 1889 a lady of some 
30 odd years of age came to con- 
sult me for her liver. She seemed 
healthy and bright, but severe 
pains in her right side, pyrosis, 
and certain brown patches on her 
skin clearly implicated the liver. 
Patient took for a month Cheli- 
donium <P with distinct benefit. She 
afterwards had Ignatia amara 1 
and subsequently Hydrastis Can. 0, 
and both with some considerable 
benefit. 

She came then to town to see me, 
when I again failed to find any- 



104 Myrica Cerifera. 

thing to account for her dyspepsia, 
though the pain I could trace 
clearly to the gall-bladder. 



After taking Myrica cerif. 3 



x 



> 



five drops in a table-spoonful of 
water, for some weeks, I received 
a very grateful letter from her, in 
which she says : " That medicine 
has done me a great deal of good; 
I have lost all pain in my side, 
and have had only one headache, 
and no indigestion, and I walk six 
miles a day/' 

What the exact state of the gall- 
ducts was of course I could not 
tell ; I could not feel any calculi ; 
none had ever been passed, she 
thought. 



Right Organ Remedy. 105 

Although Chelidonium and Hy- 
drastis both did much good, it was 
the Myrica that really hit the mark 
curatively. 

When a patient gets the right 
organ-remedy it is often really 
astonishing how their leeling of 
bien-etre is augmented: they not 
only become well, they very em- 
phatically feel it; they are, as it 
were aggressively well. 

Of course, a good complexion 
means health, more or less, but the 
liver is very specially involved in 
producing a clean skin and clear 
complexion; and I propose by- 
and-bye to dilate upon this point 



lo6 laivny Skin. 

somewhat, as I consider it impor- 
tant.* 



Case of Tawniness of Skin, 

Bronchial Catarrh, 

and Cough. 

The tawny skin is met with in 
greatest perfection in those who 
have lived in hot countries; and 
where this dirty-looking dinginess 
of the skin is not from constitu- 
tional disease, or inherited from 
phthisically-disposed parents * it is 
quite amenable to treatment. The 
tawny discoloration can be more or 
less removed. This tawniness I re- 

*See, on this subject, my "Five Years' Ex- 
perience in the New Cure of Consumption." 



Tawny Skin. 107 

gard as chronic subicterism, and, 
indeed, the anti-icterics cure such 
cases beautifully. They generally 
take a good deal of time to be 
really and permanently cured, and 
a whole series of such remedies 
have to be brought into play in 
succession, one after the other, to- 
gether with here and there an 
inter-current nosode ; but at times 
they will mend quickly from one 
or two remedies only. 

Thus at the beginning of the 
current year a city merchant, fifty- 
five years of age, came to consult 
me for a cough, with a bronchial 
catarrh. The tawniness of his skin 
was very marked, and this he at- 
tributed to a twenty years' resi- 



108 Tawny Skin. 

dence in Africa. The cough was 
habitual, and worse in the evening. 
There are a good many crescentic 
cutaneous efflorescences on his 
chest. 

iVo months of Hydrastis Cana- 
densis <I>. 

He took altogether just an ounce, 
in small material doses. Cured the 
cough; reduced the catarrh of the 
bronchial lining to a minimum; 
and very materially lessened the 
tawniness of his skin; many of his 
friends remarking upon the very 
striking improvement in his seem- 
ingly dirty complexion. I should 
have followed up with some three 
or four other anti-icterics, but the 
gentleman considered he was well 



Skin and Liver. 109 

enough, and would not come any 
more, even " please his wife." 



The Complexion of the Skin in 

its Relation to Liver 

Affections. 

That the complexion is more or 
less modified in certain affections 
of the liver is pretty patent to all 
the world, and the least observant 
readily remarks that " So-and-so's 
liver cannot be right." Neverthe- 
less, when people's skins are in an 
unhealthy state the}^ commonly 
treat the skin, or go to a skin 
doctor who is pretty sure to regard 
his specialty as the first, and treats 



I io Skin and Liver. 

the skin, generally cPen face, with 
washes and ointments and the like. 

I have tried to combat this view 
in my " Diseases of the Skin from 
the Organismic Standpoint/' but, 
I am afraid, with too little success. 

The skin gets its life from with- 
in ; it is fed from within from the 
blood, and it is from within that a 
good complexion must be obtained. 
One cannot make an unhealthy 
skin healthy by any washes or 
ointments whatsoever. 

I have preached this doctrine 
before and oft, but few will listen, 
and hence I am going to preach 



Varicose Vein. in 

it again, so that I may at least be 
able to say dixi et animam meant 
salvavi. 

Take a person whose skin is 
jaundiced. Does anyone propose 
to wash the yellow skin white? 

And if not, why not? It were 
almost as rational as to try to get 
a good complexion from any pow- 
ders and washes whatsoever, and 
yet the deluded apply such things 
daily in faith believing. 

Large Varicose Vein; Enlarge- 
ment of liver. 

It might be wondered at, that I 

hould give a case of varicosis in a 

work devoted to the main diseases 



ii2 Varicose Vein. 

of the liver, but, as a matter of fact, 
the case is so unique that I add it 
here lest it be lost, and because I 
hardly know where it would fit in 
better. 

At the beginning of 1889, a 
young lady was brought to me by 
her mother for a large varicose 
vein running from her right 
shoulder, over the right clavicle, 
and across the upper half of the 
right side of the chest. It varied 
in size somewhat, and at its largest 
was about the size of an ordinary 
quill. 

Being great society people this 
vein cast quite a shadow over their 
lives, it being " quite impossible, 
you know, to dress." 



Varicose Vein. 113 

One sees the oddest things in the 
way of varicose veins in the lower 
half of the body, but not very often 
in the upper, as gravitation is 
enough to empty them when they 
are higher up. 

All kinds of treatment had been 
applied, or applied to, and quite 
lately the vein had been treated 
by that wonderful cure-nothing — 
electricity. 

I reasoned thus : Veins that 
dilate in that manner, steadily, 
slowly, increasingly, must do so 
from an obstruction in their pro- 
gression heartwards, just as the 
little rivulets higher up the stream 
must fill up when the stream is 
dammed up lower down. 



H4 Varicose Vein. 

From a rather careful physical 
survey of the parts involved, I 
found the liver very large — indeed 
huge, which was probably ac- 
counted for by the fact that patient 
had thrice had ague, or else three 
attacks of the same. Her skin 
was dirty dingy-looking, and the 
portion covering the lower end of 
the breast bone studded with wee 
flat warts, and the degree of 
anaemia was considerable. More- 
over, she had a disagreeable cough, 
and her sleep was not good. 

An ounce of Chelidonium #, 
spread over eleven weeks, restored 
the liver to its normal size, and 
the varicosis had almost entirely 



Gallstones. 115 

disappeared, so that patient had 
again taken to evening dress — 
respectively, undress. Her skin 
at the same time became clearer, 
and her blood of evidently better 
quality. 

Case of Gallstones. 

The wife of a well-known clergy- 
man came under my observation 
on the 12th of June, 1889, for gall- 
stones. Competent medical men 
had attended her in these attacks, 
and had diagnosed gallstones. 
Patient had turned fifty, and is the 
mother of many children. Her 
attacks began with sharp agonizing 
pains in the pit of the stomach, 

extending to the arms, and with 
9 



n6 Gallstone and 

them severe vomiting; her breath 
is very short ; her bowels are cost- 
ive, and she is a martyr to flatulent 
dyspepsia. 

Being a rich woman, she had 
sought the best advice in London, 
but to no avail. Her physicians 
had stated that nothing more 
could be done. Her lower extremi- 
ties had begun to swell, and this, 
coupled with a loss of flesh, dys- 
pnoea, and a very darkly icteric 
coloration of the skin, seemed to 
corroborate the given prognosis, 
and the more so as patient's able 
physicians had long tried their 
best with such remedies as are 
current in the orthodox school of 
medicine. 



Dyspepsia.. 117 

But knowing well their poverty 
in remedies, and in knowledge of 
remedies, I set about treating this 
lady precisely as if she had never 
had any medical treatment at all. 

Thirteen months later, while I 
am actually writing these notes, 
she is plump, healthy looking, and 
touring with her husband in Scot- 
land, and she has had no pains at 
all for just eleven months. Friends 
who have not seen her for some 
time barely able to recognize her 
because of her changed appearance. 

Her remedies were Hydrastis 
Canadensis, Bryonia alba , Thuja 
Occident., Helonium, Strophanthus, 
and intercurrently, for far-reaching 



n8 Cholesterinum and 

constitutional effects, two common 
nosodes in high dilutions. 

The change in this lady's dis- 
position is rather remarkable, as 
from being dull, taciturn, unen- 
gaging, and almost socially un- 
civil, she has become bright, affable 
and chatty. The fact is, our 
brightness and chatty sunniness 
in our social life do verily depend 
much upon the liver. 



Cholesterinum in Tumours of 
Liver. 

This is obtained from gall ; I 
believe from that of the bullock. I 
learned its use of the late Dr. 
Ameke, of Berlin, author of the 



Liver Tumour. 119 

" History of Homoeopathy," trans- 
lated into English by (alas, also the 
late) Dr. Alfred Drysdale, some- 
time of Cannes. 

Ameke claimed to have derived 
much advantage from its use in 
cancer of the liver. This is a 
weighty statement, and is true. I 
believe I have twice cured cancer 
of the liver with it ; and in obstin- 
ate hepatic engorgements that, by 
reason of their obstinacy, make 
one thing interrogatively of cancer, 
the effects of Cholesterine are very 
satisfactory; at times even strik- 
ing. 

I commonly use the 3 X trit. in 
six-grain doses three times a day, 
but this will here and there act 



120 Cholesterinum and 

very violently, and when this hap- 
pened I have found the third cen- 
tesimal trituration effective. 

Sometimes one meets with cases 
in which there appears to be a 
semi-malignant affection, involving 
the left lobe of the liver, and what 
lies between it and the pylorus and 
the pancreas, and here Cholesterine 
3 X and lodoformum 3 X , in four- 
hourly alternation, have several 
times rendered me sound service. 

I may relate one such. Sum- 
moned 60 miles into the country 
late one afternoon, to a supposedly 
dying lady of 60 odd years of age, 
I found her icteric, vomiting, 
bathed in cold perspiration, very 



Liver Tumour. 121 

thin, debile ; the pulse small and 
weak, and patient seemingly almost 
moribund. Nothing would stay 
on the stomach. The seat of the 
affection was the left lobe of the 
liver, extending to the left and 
towards the navel. That there 
were gallstones is probable, but, 
quite outside of the acute attack, 
there was a chronic affection of 
some kind in the region just 
named, evidenced by swelling and 
tenderness. 

Kalibich. 5 relieved; Cholesterine 
3 X and Iodof. 3 x cured in a month, 
and, the case being of long stand- 
ing, the cure converted several 
families to the contemned pathy 
of Samuel Hahnemann. 



122 Cholesterinurn. 

But, allowing for all doubtful- 
ness and vagueness in what I here 
relate, Cholesterine is my sheet- 
anchor in organic liver disease in 
which the commoner hepatics — 
Chelid. , Carduus, Myrtca, Kalibich., 
Merc, and Diplotaxis tenuifolia 
have failed. 

I do not think that Chlosterine 
has any influence upon the u dis- 
position" to cancer, but it acts by 
reason of its elective affinity for 
the seat of the disease ; it effects 
therefore not a cure in the Hun- 
ternian sense, inasmuch as it only 
gets rid of the product of the dis- 
ease, but that is something, as 
there is then a temporary cure, 
which under favorable circum- 



Cholesterinum. 123 

stances may become permanent 
proof of which permanence of cur- 
ative results I will presently ad- 
duce. In this case the cure has 
proved to be permanent, as now 
(two years since the lady is in 
capital health, and on a visit to 
her daughter in the North of 
England. 



124 Curing the "Incurable" 



Curing the Incurable — The 
Insolence of Ignorance. 

"Le cancer est incurable parcequ' on ne le 
guerit pas ordinairement; on ne peut le guerir 
puisqu 'il est incurable, done quand on le guerit 
e'est qu'il n' existait pas." — Duparcque. 

The saying of Duparcque which 
stands at the head of this', pithily 
puts the whole question; the thing 
has not changed, dest alors comme 
alors. 

This I will dwell upon very 
briefly now, and at the same time 
bear the very highest testimony 



The Insolence of Ignorance. 125 

to the virtues of Cholesterine in 
cancer of the liver. 

On January 30th, 1889, an 
American gentleman, confessing 
to sixty-five years of age, and on 
a visit to his daughter, married to 
an English clergyman in the north, 
was accompanied to rny rooms by 
the said daughter, so ill was he 
that had I thereafter heard of his 
immediate demise I should have 
been not in the very least aston- 
ished. 

The note taken at the time 
stands thus in my case book under 
the above date .... Thin, 
weak, debile; yellow conjunctivae, 
insomnia ; very nervous and ap- 



126 Curing the "Incurable" 

prehensive. Been treated for en- 
larged liver and had lots of calomel 
and chloral. His skin is tawny, 
cachectic. There is a swelling of 
the liver or of the pancreas — prob- 
ably malignant disease of the left 
lobe of the liver. Always suffered 
from dyspepsia. Been a great 
ocean traveler. " I am very fond 
of salt, and eat a great deal." Is 
a practical teetotaler. Bones of 
the fingers very knobby. He is 
a spring-and-fall ailer. Has lost 
a stone weight since November. 
Never been ill but ailing, and has 
taken much medicine: bromides 
and chloral, urethran. Very chilly. 
He is very ill. Urine normal. Has 
had ague, ond been twice vac- 
cinated. 



Cholesterme. 127 

I ordered him six grains of 
the third decimal trituration of 
Cholesternium every four hours, 
and requested him to call in a few 
days. The married daughter de- 
manded my candid opinion, and I 
said it was, in my judgment, can- 
cer of the liver, when she informed 
me that that was the unanimous 
opinion of all their medical advisers 
the most trusted of whom were 
quite sure the lethal end was not 
far off. 

That would also have been my 
opinion had I not seen Cholesterme 
bring back hope in several desper- 
ate cases of cancer of the liver. I 
therefore felt warranted in stating 
that I thought our remedies care- 



128 Curing the "Incurable." 

fully and persistently applied might 
yet cure him. In a few days 
patient returned to me in company 
with his daughter, and I hardly 
like to say what the change was, 
so great was the amelioration. He 
looked vastly improved and walked 
firmly, and indeed already con- 
sidered himself on the high road 
to recovery, almost wondering what 
all the fuss had been about. 

When Mr. D. R. had retired, 
his daughter very anxiously said, 
"What do you think, now?" I 
said I had not altered my opinion; 
and that the improvement was due 
to the remedy and not natural 
recovery, and that the said improve- 
ment would have to be followed 



Cholesterine. 129 

*■ 
up with close scientific treatment 

which might, and indeed most 

likely would, result in a positive 

nd direct art-cure. I also tried to 
explain that we had begun success- 
fully and rapidly to deal with the 
product of the disease, and that 
done we could proceed to deal with 
the disposition thereto. I ordered 
patient to go on another few days 
with the prescription which I had 

iven to him at first {Cholest.,) and 
then to report himself to me. 

In about half an hour thereafter 
the daughter returned with her 
husband, and the latter almost flew 
at me in very rage. u What," said 
he, "do you mean to tell me that 



130 The Insolence of Ignorance. 

my wife's father has cancer?" 
"Yes." "And that you are going 
to cure him?" "Yes. I think I 
shall, but I am not sure." Here- 
upon he raised his voice somewhat 
and repeated his questions so offen- 
sively that I turned away from 
him and he left. I have never seen 
or heard of any of them since; nor 
have I ever since seen the wife's 

sister, Lady , whom I cured in 

1886 of a thickening of the Cardia, 

but Lady 's cure was a truly 

Hunterian one, and she has been 
quite well for long. I have been 
so often amazed at the insolence of 
ignorance that I not infrequently 
find it hard to bear with equanimity. 
Thus here I was positively in- 



Job's Comforters. 131 

suited, essentially because I knew 
more on a given point than certain 
others, viz., that Cholesterine will 
at any rate cnratively modify some 
cases that seem to be hepatic car- 
cinosis. 

Still, I thank God and take com- 
fort . . . they know not what 
they do. 

People who are sick of some 
chronic disease and are given over 
to their fate by those who ought at 
least to have the courage of hope- 
fulness, find not infrequently their 
greatest enemies in their nearest 
relations, who resent efforts at cure. 
These Job's comforters seem to re- 
gard determined efforts to cure 

their friends as personal insults. 
10 



132 Hopeless Case. 

This phenomenon I have observed 
so often that I have wondered what 
the explanation thereof might be : 
in nltimate analysis it wonld seem 
to be hnman vanity. They have 
pronounced the case hopeless, and 
therefore it is so and not otherwise. 

Ubi morbus ibi remedium. 

This idea is very old, and clings 
to mankind with wonderful tena- 
ciousness. On this is founded 
Ameke's conception which, had he 
been spared would, I think, have 
resulted at least in the discovery 
of notable remedies for which 
clinical experience would subse- 
quently have afforded fixed indi- 
cations. 



Liver Tumour. 133 

Tumour of Liver of Great Size 
Cured by Cholesterinum. 

A country squire nearing seventy 
years of age came under my obser- 
vation in the early part of 1889 for 
a very large tumour clearly con- 
nected with the left lobe of the 
liver. Patient was so ill that he 
reached town with difficulty, and 
became so weak that it was impos- 
sible for him to return 

Orthodoxy well represented had 
given him up; and his profound 
adynamia and cachectic look war- 
ranted me in stating that I had but 
small hope. But he was a plucky 



134 Large Tumour. 

fellow — a type of the British aris- 
tocrat (born to govern and fit 
therefor: because living out of 
doors and not reading books — 
Beaconsfield) and he was willing 
to obey to the letter. 

I advised him to go to the Grand 
Hotel and quarter himself in the 
sunny front high up out of the 
dirt and din, and there abide. He 
did so, and a very pleasant abode 
that is : the sun streaming in ; the 
quiet; and yet the outlook upon 
the seething mass below, which 
keeps from stagnation. 

A homoeopath for half a cen- 
tury he had boundless faith in 
Nux vomica, but I told him that 



Cholesterine. 135 

I was sure Nux would not cure 
him, and as this visibly depressed 
him, I said I would give him my 
medicine, but in alternation with 
it he should have his Nux. Hence 
this was given in alternation with 
Cholesterine. The tumour slowly 
disappeared, the liver went down 
to the state it had been in for forty 
years, 1. e. the left lobe somewhat 
bulging, and patient returned to 
his country seat in about two 
months, and ever since he is not, 
as a rule, conscious of possessing a 
liver at all, though once in a way 
he feels a little uneasy in the 
hepatic region. This I know, as 
patient has long been worried with 
vesical catarrh, and for this I am 
now treating him, keeping all the 



136 Liver Tumour, 

time a certain amount of attention 
directed to the hepatic region in 
case of any further explosion ; for 
I do not imagine that the cure thus 
far is a truly Hunterian one. 

True, the tumour is gone and 
may never recur, and the gentle- 
man has a very healthy look ; but, 
after all, the tumour is not itself the 
disease, but the disease-product. 

I would not be understood to 
maintain that a tumour which thus 
goes from drug action on the ubi 
morbus ibi remedmm idea must 
necessarily recur, but that it may. 
But I will continue on this same 
subject in my next chapter. 

At the time of going to press 
this gentleman continues well. 



Amekean Treatment. 137 

Amekean Treatment oe Hepa- 
tic Tumours; Heptic Cancer. 

About five years ago, a gentle- 
man of 67 or thereabouts came 
under my observation for a swell- 
ing under the right ribs that com- 
petent authorities had diagnosed 
as of a cancerous nature. It had 
come a good many months subse- 
quent to an accident: a cab wheel 
having gone over the body at the 
part mentioned. He had been 
under a good West-end homoeo- 
pathic physician who had agreed, 
after a close examination, to the 
diagnosis, and declared positively 
to the gentleman's wife that he 
had no hope whatever of curing 



138 Amekean Treatment. 

the case, and lie thought it his 
duty to say so. 

The whole thing was quite cured 
with the remedies in about a year ; 
the most striking, palpable result 
being observed after the use of 
Cholesterine in different dilutions, 
though numerous remedies were 
needed as well, notably Carduus 
marice 0, Chelidonium majus #, 
Myrica cerifera 3 X , Iodium 1, Kali 
bzck. 5, and Nat. mur. 6 trit. 

Five years have elapsed and 
there has been no recurrence of 
tumour, and during the whole of 
the five years the gentleman has 
only been away from his business 
for three weeks and that was to go 
to the seaside last August. 



Cholesterine Case. 139 

A few days since I saw his wife 
on her own account, when she re- 
ported him " quite well." 

This certainly looks like a Hun- 
terian cure. I can now report on 
another and very similar case, as 
follows : — 

Another Cholesterinum Case. 

Nearly six years ago, indeed a 
little longer, as it was earty in the 
year 1876, I was required to treat 
a liver case almost exactly like the 
foregoing one. But patient was 
not much over fifty years of age 
then, and it arose primarily, it was 
thought, from adhesive peritonitis 



140 Cholesterine Case. 

of long before. Eor years this gen- 
tlemen, a county man, had felt the 
jolting in a carriage at first un- 
comfortable, and latterly so painful 
that he had got into the habit of 
holding his hand against the 
swelled part to support it and pre- 
vent its feeling the effects of the 
shaking. 

With the sole addition of Me- 
dorrh. C. the treatment was as in 
the last case, and of about the same 
duration, viz., about a year, and 
with an equally satisfactory result: 
he got well, and has remained well 
to date, working very hard almost 
all the time. This I know, as he 
has come about four times a year 
to be assured that his old enemy 



Art-Cure. 141 

had been, not merely scotched, but 
killed. 

In this case I myself originally 
gave a bad prognosis to the gen- 
tleman's wife, and it was the 
Cholesterine that brought life and 
hope into the matter. It is very 
difficult to cure a tumid mass of 
any kind with one remedy: one 
needs Organ opathy, Homoeopathy, 
Amekeanism, and empiricism, to- 
gether with theories no end, if the 
full extent of the possible is to be 
attained. 

In my judgment the full range 
of the art-cure of disease by reme- 
dies used on scientific lines starts 
from the due recognition of the 
primary seat of the disease, and of 



142 Art- Cure. 

the remedies that electively affect 
such primary seat. This, I take it, 
is the homoeopathic specificity of 
seat. Experience teaches me that 
if we are to avoid false issues in 
treatment we must start with diag- 
nosing, if possible, where the mal- 
ady is primarily located. At any 
rate, I find this the shortest way to 
curing. If this be neglected we 
not infrequently cover and cure 
the symptoms, leaving the malady 
itself more or less untouched. 

No doubt — and on this I lay 
some stress— when the symptoms 
are scientifically (i. e. homoeopath- 
ically) covered and cured, the dis- 
ease causing the symptoms is at 
the same time often radically cured 
also; but also, and not seldom, the 



Covering Symptoms 143 

symptoms are got rid of, but the 
disease remains. 

It lias been urged that any 
untrained person can treat homoeo- 
pathic ally by mechanically cover- 
ing the symptoms ; and no doubt, 
this is, to some extent, true. But 
such cures are not worth much; they 
do not reach very far, and are only 
of practical value when the malady 
and the symptoms are convertible 
terms. The simillimum of the 
symptoms may, or may not be the 
simillimum of the malady ; if of 
latter, we have an ideal therap}^ 
beyond which there is nought to 
be desired ; if of the symptoms 
only, we are apt to keep on curing 
our patients till they die. 



144 Getting behind Symptoms. 

If homoeopathy is to go on 
advancing we must face the ques- 
tion of getting behind the symptoms, 
so that we may not only treat the 
symptoms homceopathically, but 
also the malady in its essence. In 
other words, it will not suffice 
to find the simillimum of the 
symptoms, but that being found, 
it will be needful to put this perti- 
nent question : Is this sympto- 
matic simillimum also homoeo- 
pathic to the anatomical essence 
of the malady itself ? 

In the simple and well-defined 
forms of disease affecting an 
isolated organ, Paracelsic homoeo- 
pathy or organopathy is a very 



Organopathy. 145 

valuable guide to cure, and helps 
to define the disease and to fix its 
cure with the pathalogic simile. 

This results from a recognition 
that certain organs of the body 
are, as it were, organisms within 
the organism ; minor systems with- 
in the general system. They 
have special individualism, both as 
to their functions and as to their 
diseases. Such an organ is the 
liver. It can be made ill by the 
organism, but, in its turn, it can 
make the organism ill. They 
act and re-act upon one another. 
Neither can exist without the 
other. 

Certain drugs have been discov- 
ered by man, almost in all places 



146 Finding the Remedy. 

and at all times, that have an 
elective affinity for these organs, 
and these drngs have some of them 
received names indicative of their 
action, hence we have head medi- 
cines, spleen medicines, liver medi- 
cines. 

This smail volume is intended 
to shew that the greater or more 
common Diseases of the Liver can, 
for the most part, be readily cured 
by hepatics or liver medicines. 

Inasmuch as a large number of 
hepatics are well-known to us, our 
chief difficulty lies in finding out 
which remedy will cure a given case. 
How far I have succeeded in over- 
coming this difficulty is shewn in 



Paracelsus. 147 

these pages, and where I fail, 
others, beginning where I leave 
off, may succeed. 

The cure of organ-diseases by 
organ-remedies is often called or- 
ganopathy, and this it was that 
very largely constituted the prac- 
tice of Paracelsus, and for which 
he was hounded to death. His 
success was so great that envy and 
hatred arose and fiercely attacked 
him. There can be no doubt that 
Paracelsus w r as foully muidered by 
the hired servants of his fellows- 
practitioners ; and oh ! the number 
of medical tomtits that have thrown 
dirt on his memory all through the 
after-living generations ! 

For all that, his great genius 
11 



148 Paracelsus. 

flames still bright above the hori- 
zon, lighting up the life-paths of 
such as have the power to see. It 
supplies light, but not eyes. 

I would remind those homoeo- 
pathic practitioners who throw 
their little handfuls of dirt at Para- 
celsus that it was he — Paracelsus — 
who planted the acorn from which 
the mighty oak of homoeopathy 
has grown. 

It was just as impossible for 
Paracelsus to work out a homoeo- 
pathic equation on the purely 
scientific ground of drug physiol- 
ogy or provings as did Hahne- 
mann, as it was impossible for the 
farmers in the time of Hahnemann 



Elementary Homoeopathy. 149 

to use the steam plough 1. *. it was 
11 ot there to be used. 

I have long mainted that organ- 
opathy is elemental homoeopathy 
— that in the very nature of things, 
homoeopathy necessarily includes 
organopathy. 

Paracelsus was an organopath, 
being the founder of organopathy. 
I think it most likely that he 
picked up its elements and ele- 
mentary principles on his travels, 
applied them in practice, and 
having made cures that have rarely 
been equalled, he systematized it. 
Personally I acknowledge my great 
indebtedness to Paracelsus, (largely 
through Rademacher) with all grat- 
itude. I am constantly and in- 



150 Primary Seat. 

creasingly impressed with the im- 
portance of ascertaining the exact 
primary seat of any localised mal- 
ady, and I have been driven to this 
by certain of my failures in purely 
symptomatic treatment. To really 
and radically heal of disease, one 
must often dig down and find out 
where the fons et origo malt is, and 
to this end Paracelsic organ-testing 
is of the very greatest service; in- 
deed it often leads to the most im- 
portant clinical discovery. And 
what may the most important clin- 
ical discovery be? That which 
necdextrosum, nee sinistrosum leads 
straight to the goal of every true 
physician — mastery over disease, 
z. e., its direct art-cure. 



Gallstones and Asthma. i ■ 



Case of Gallstones axd 
Asthma. 

It must be nearly ten years ago 
that a widow lad} 7 from abroad 
came to consult me for asthma and 
biliary calculi: and I will relate 
her case, not only because it is 
apposite as a cure of a liver affec- 
tion, but because the lady has been 
more or less within my professional 
ken ever since, and at this present 
time she is in very good health, 
and for long has had neither 
Asthma nor Gallstone attacks. 

Another point of interest for me 
lies in the fact that four well- 
known homoeopathic physicians 



152 Gallstones and 

had treated the case during over 
three years with only indifferent 
success. They treated the symp- 
toms without any physical diag- 
nosis, and after having prescribed 
for the symptoms and temporarily 
cured many of them, the patient 
remained pretty much where she 
was before. Had they gone into 
the case they would have found 
that the bronchial asthma, retch- 
ing and vomiting had their point 
de depart in the gall bladder. 

No doubt this had again its 
origin in the constitutional crasis 
of the individual, and hence I be- 
gan the treatment with very infre- 
quent doses of Psoricum 30. This 
much lessened the pain in the right 



Asthma. 153 

side, and it greatly relieved the 
cough. Then during about five 
weeks patient was under the influ- 
ence of Chelidonium 1, and pain 
and cough quite disappeared. 

In a fortnight the pain starting 
from the gall bladder returned, and 
was accompanted with much retch- 
ing. Patient was of opinion that 
the side pain had originally come 
from taking such quantities of 
phosphorus for her cough j^ears 
ago. At any rate, she affirmed 
that she never felt pain in this re- 
gion before. 

There is no return of asthma 
since she left off the Chelidonium. 

I next prescribed Terebinthina 



154 Gallstones and 

3 X , four drops in water three times 
a day. The Tereb. rather upset 
her at first, and then she got better. 

After this an attack of gall colic 
came on from exertion. 

Thie duskiness of the skin, and 
the big brown patches on the fore- 
head, led me to give Nux. It did 
much good, and under its influence 
patient's skin became lighter and 
cleaner. Then followed Thuja 30, 
and subsequently at odd intervals, 
according to the symptoms, Mer- 
atrius vivus, Antimon. tart, 3, Pul- 
satilla 3 X , Cholesterine 2, Ipec, 
Alnus rub., Nat. SuL 6, and Calc. 
carb. 30. 

But these were mostly for the 



Asthma. 155 

gallstones, as there had never been 
any return of the asthma after the 
Psoricum followed by the Cheli- 
donium, and that is more than nine 
years ago. 

This I consider the more re- 
markable, as both her own mother 
and her own son had asthma; and 
an asthmatic lady, daughter and 
mother of individuals similarly 
afflicted, would hardly have a tran- 
sitory or spurious kind of asthma. 



156 Saffron. 

Rademacher's Hepatic. 

Rademacher's liver medicines 
are Quassia, Chelidonium, Liquor 
calc. mur., Nux vom., Crocus, and 
Carduus, though he does not reckon 
the last-named as solely an hepatic. 
These remedies have been already 
sufficiently considered, excepting 
Crocus and Quassia, and of this 
latter I have myself no experience, 
and will therefore pass it by. Of 
the former I will presently speak. 

Rademacher on the Influence 
of Saffron on the Liver. 

Crollius, in his treatise, De sig- 
naturis internis rerum, cites Saffron 
as a remedy for jaundice. Rade- 



Rademacher* s Hepatic. 157 

macher had been treating liver dis- 
eases with Carduus, and finding 
the prevailing genius of disease 
alter (which he recognized from 
the fact that Carduus had ceased 
to cure the then prevailing liver 
affections) , he began to test afresh 
for the remedy, and believed he had 
found in it Quassia. 

A man of sixty years of age 
came under his observation for a 
painful chest affection, with fever, 
cough, and bloody expectoration — 
(we should now call such a case 
pneumonia, broncho-pneumonia, or 
pleuro-pneumonia, probably.) 

The action of Quassia was fair, 
but not so pronounced and rapid 
as Rademacher was accustomed to, 



158 Crocus. 

and hence he concluded that he 
was not dealing with a real Quassia 
liver disease. 

Patient took the Aqua quassicz 
for a week with some obvious bene- 
fit, when, tiring of its taste, Saffron 
was added to colour and mask it. 
Result: rapid and complete cure. 

Subsequent observations shewed 
that the curative virtue lay in the 
Saffron, and not in the Quassia. 

Dysenteria Hepatic cured by 
Crocus. 

Fever, colic, vomiting, rectal 
tenesmus, slimy, sanguineous, non- 
foecal motions, easily and promptly 



Saffron. 159 

cured with small doses of the tinc- 
ture of Saffron, because dependent 
upon a primary affection of the 
liver curable by Saffron. 

11 In former years I should," says 
Rademacher, u have rushed into 
print in the medical journals and 
proclaimed Saffron as the greatest 
liver medicine extant, but since 
Paracelsus has broken my specta- 
cles I see nature with niy eyes 
alone, and it is now manifest to me 
that we cannot ascribe to any 
organ-remedy whatsoever absolute 
and unconditional curative power, 
but that the really clear and 
obvious revelation of the same 
depends upon the kind of the 
epidemic genius of disease that 



160 Rademather* s Cure 

happens for the time-being to be 
prevailing." 

Those who know their Synden- 
ham will appreciate this. 

Rademacher's Cure of Gall- 
stones. 

Rademacher's observations are 
in all cases so reliable that I deem 
it a nsefnl undertaking to give, in 
short, the gist of his experience of 
the medicinal cure of Gallstones. 

Cardmts, he maintains, is facile 
princeps in the attack; nothing 
equals it, he says, He was once 
enabled to recognise the presence 
of biliary calculi in the following 
extraordinary manner : — 



of Gallstones. 161 

An elderly man, who had form- 
erly complained of heartburn, ful- 
ness, and regurgitation after food, 
was seized with violent colic, and, 
as all the abdominal remedies were 
without effect, he concluded that 
the abdominal affection was symp- 
tomatic of some other primarily 
diseased organ. He was sent for 
at an unusual hour to hear from 
the good man's wife that a band- 
age with a knot in it at once 
stopped the pain. From this he 
concluded that only a mechanical 

affection could be thus mech anically 
helped. 

A slight and very peculiar feel- 
ing alone remained in the region 
of the gall bladder. Patient was 



162 DurantPs Remedy. 

treated during six months with 
Durand's remedy, and was thereby 
completely cured of his supposed 
stomachic affection and of his colic. 
He remained quite well for twelve 
years. Then, after this long in- 
terval, the stony guest again put 
in an appearance, though under 
another guise. He again admin- 
istered Durand's remedy where- 
upon the troubler ceased and came 
no more, the patient dying long 
after at a great age of senile 
marasm. 

Rademacher relates how the 
symptoms of pleurisy and even of 
pneumonia may. be really those of 
biliary calculi, and he instances 
the case of the wife, or rather 



Sulphuric Acid. 163 

widow of an admiral who was 
cured of an attack of gallstone 
colic with Durand's remedy by 
him, and, being seemingly well, 
travelled to Berlin, but fell ill of 
the same ofifection which was mis- 
taken for pleurisy, and treated as 
such in the old antiphlogistic 
fashion with venesection and 
plasters, and under these the 
seventy-year old lady died. 

Rademacher cites the case as a 
warning to the careless or inex- 
perienced. He then remarks that 
Sulphuric acid has the power of 
stirring up biliary calculi to activ- 
ity. 

Of the tincture of Carduus in the 

attacks of gallstone colic he reccom- 
12 



164 Durances Remedy. 

mends from 15 to 30 drops in a 
teacupful of water or milk five 
times a day. 

Mixture of Oil of Terpentine 

and Sulphuric ^Ether, or 

Durand's Remedy. 

Paracelsus says that tlie oil of 
turpentine was first discovered by 
the jatro-chemists, and lie strongly 
recommends physicians to try the 
curative effects of the oil in diseased 
human organisms. 

Rademacher remarks, however, 
that as a rule physicians are more 
concerned to gain over the patient- 
world by saying smooth thing to 
them than with the advancement 



Turpentine. 165 

)f the healing art, and hence the 
*ecommendation was not followed 
md fell into oblivion. 

Paracelsus affirms that turpen- 
:ine with the right appropriate or 
3rgan remedies is helpful in all 
^durations. 

Those who know of turpentine 
only that it is good for tapeworm, 
and that it, combined with aether, 
will dissolve gallstones, know but 
very little of its virtues. 

He thus summarises: "All we 
can with certainty maintain is, 
that the symptoms which we 
ascribe to the presence of biliary 
calculi are not merely silenced by 



1 66 Durand^s Remedy. 

turpentine in aether , but by its 
long continued use are got rid of 
so completely that patients remain 
thereafter free of their troubles for- 
ever, or, at any rate, for many 
years." 

He finally remained true, after 
many trials, to a mixture of sixteen 
parts of Spirit sulpk. ceth., and one 
of OL tereb. 

And as to dose : one must begin 
gently and cautiously with ten, 
and, in the very sensitive, with 
five drops of the mixture in half a 
cupful of water three times a day, 
and the dose must be slowly or 
rapidly increased occording to the 
tolerance of each individual case. 



Durand^s Remedy. 167 

; At first there is often a little 
'ipain in the liver soon after the 
dose, lasting a few minutes. This 
.he declares is desirable, but the 
dose must not be increased till this 
pain has not been felt for a few 
days. Then the urine must be 
watched, and as soon as the urine 
ibegins to get darker in colour (in 
which case the patient at the same 
time is apt to complain of an un- 
comfortable sensation in the epi- 
gastrium), the said mixture must 
be temporarily stopped and Car- 
\duus administered till the discom- 
'fort in the epigastrium has gone, 
,'and until the urine has again be- 
come clear and of the colour of 
light straw. And then the mixture 
is to be resumed, but in a small 



1 68 Podophyllum. 

dose — smaller than it was when 
left off, and the dose is not to be 
too hastily again angmented. 



Chronic Enlargement of the 

Liver cured by Podophyllum 

peltatum 6 X . 

In the month of Jnne of the year 
1883, a widow lady came under 
my observation for diarrhoea. It 
was clearly of hepatic nature, and 
patient felt as if she were sinking 
into the earth; icy cold feet; pains 
in the abdomen; has piles; last 
year nearly had jaundice. A phys- 
ical examination revealed chronic 
enlargement of the liver; the pa- 



Chronic Enlargement. 169 

tient looked ill, and in very ill- 
health. 



With an enlargement of the 
liver, tenderness of the hepatic re- 
gion, pains in the abdomen, piles, 
diarrhoea, and evident Aug eg riff en- 
sein of the organism, I think the 
ordination of Podophyllum pelt. 6 X 
may be fairly called scientific ; in 
fact, I maintain that the prescrip- 
tion was demonstrably and strictly 
scientific. 

It cnred the patient slowly — 
seven weeks — surely, and perma- 
nently, and not only subjectively 
but objectively, for her improved 
appearance was very pronounced. 



170 Why? 

I often wonder in this age of 
science that its scientific spirit so 
much neglects the scientific thera- 
peutics of Samuel Hahnemann, 
particularly as Hahneman has 
been so long dead. It cannot now 
make any difference to him! And 
faith ! it makes no difference to me 
either. 

Then why do I stand up for 
homoeopathy so persistently if it 
makes no difference to me? 

Why, indeed? 

Only one reason. 

And what might that one reason 
be? Shall I confess, or let the 
black secret die with me ? 



Homoeopathy True. 171 

Just this: Homoeopathy is true, 
tliafs all. 

And if true, why do people sneer 
at it? 

Fools always do sneer at what 
they do not understand. 



172 Modern French Practice. 



Practice of Modern French 

Physicians in the Treatment 

of Hepatic Colic. 

M. Germain See in " La 
Medecine Moderne" Nr. 6, 1890, 
treats of this subject, and shows a 
distinct advance on the common 
treatment of hepatic colic. 

He notes, that the Salicylate of 
Sodium is an excellent cholagogue; 
in watery solution the Salicylate 
of Sodium augments the biliary 
secretion, and particularly the 
watery part of the bile. And 
further, by a singular coincidence, 
this remedy, besides its action as 



Olive Oil. 173 

a cholagogue, has a powerful anal- 
gesic action which, is of prime 
importance in the attack. 

He insists that in prescribing 
cholagogues great care should be 
taken in dissolving them in an 
ample quantity of fluid. 

Rademacher was clearly of the 
same view, for he gave each dose 
of Carduus in a teacupful of fluid. 

M. See speaks also with much 
satisfaction of the free use of Olive 
Oil in biliary attacks. 

He considers purgatives contra- 
indicated. He also condemns all 
substances that lessen the biliary 
secretion, such as the salts of 



1 74 Large and Small Doses. 

potassium, calomel, iron, copper, 
morphia, atropine, and strychnine, 

But as M. See ignores the 
double and opposite actions of 
large and small doses, we can 
only regard him, in practical phar- 
macodynamics, as a half-educated 
man; and this, notwithstanding 
his pre-eminently leading position 
in the practice of modern medicine 
in France. But it is something to 
find anyone's practice addressed to 
the causes of the colic, rather than 
to silencing the pains, which are 
but effects, and which, being 
silenced, leave the morbid state of 
the sufferer as bad or even worse 
than it was before. 



Jaundice. 175 

Remarkable Case of Jaundice 

of Nine Years' duration ; 

Gallstones of Large Size. 

I really finished writing this 
small treatise on Liver Diseases 
last autumn, and sent the MS. to 
the printers, on the day the date of 
which will be found at the foot of 
my preface. In this same preface 
mention is made of a case of 
chronic jaundice of long duration, 
which I then feared was hopelessly 
incurable. This work has been 
delayed at the printers until now, 
owing to want of time on ray part, 
and moreover, I have latterly de- 
layed it somewhat on purpose, and 
in order that I ma}^ narrate the 



176 Remarkable Case 

before-mentioned case referred to 
in the preface, in which I reflect 
upon the treatment of the case fol- 
lowed by a distinguished represen- 
tative of old-chool medicine. 

I always hold that adverse criti- 
cism of co-practitioner's work 
should be in the abstract, because 
it is not in any sense a question of 
persons. I also hold that whoso- 
ever criticises the work of another 
adversely, the same is morally 
bound to point out a better, a more 
excellent way, if he knows one. 

The plan followed by my pre- 
decessor in the treatment of this 
case was to lull the pain with 



of Jaundice. 177 

morphia. Now, quite apart from 
the deteriorating influence of the 
drug (a question I do not propose 
here to discuss), it must be mani- 
fest that the pain arose from the 
gallstones: and the lulling influence 
of the morphia not only did not 
cure, or even tend to cure, but 
actually tended to prevent nature 
from helping herself. 

The physician knew perfectly 
well that he only relieved the pain ; 
he was quite conscious that it was 
in no sense a cure. "The thing," 
said he, u is incurable; the pain is 
therefore, the legitimate object of 
palliative treatment." And I quite 
agree that a physician may not 
stand by and see pain without 



178 Remarkable Case 

taking effective measures for its 
relief. 

But the patient's life comes frst, 
not the pain; and therefore, here 
everything hinges upon the ques- 
tion of curability or non-curability. 
Assuming that the case was really 
and truly incurable by medical art, 
then, of course, the lulling of the 
pain by morphia was right and 
proper, and moreover imperatively 
demanded on the ground of 
humanity alone; and where phy- 
sician cannot cure he is at least 
bound to relieve pain. I therefore 
attach no blame to this physician 
personally, his error lies in his 
scholastic conceptions of what 
are the actual possibilities of 



of Jaundice. 179 

drugs in the direct art-cure of 
disease; and in the unquestioning 
belief that what he and his fellow- 
believers in school-physic know, 
covers the entire field of the known 
and of the knowable, in curative 
medicine. 

Paracelsus is ridiculed and 
contemned ; Rademacher is almost 
unknown in the wider sphere of 
medicine. Homoeopathy is not 
within earshot at all, z* e t) in the 
spheres that are deemed orthodox. 
It seems very odd, but all that is 
best in medicine, in so far as it 
relates to the art of healing is . . . 
on/side! 

Paracelsus is outsi&z ; Rade- 
macher is tfz/z'side; Hahnemann is 
13 



180 Remarkable Case 

outsxfe ; the physician who gave 
morphia for the case under study 
is . . . inside. 

I will now go on to the case in 
question by narrating that patient, 
a married lady, mother of a family, 
was brought to me by her husband 
with some difficulty, owing to her 
great weakness and loss of flesh. 

I noted as follows: — Mrs X., 38 
years of age, eleven years married, 
mother of seven children, came 
under my observation on Septem- 
ber 29, 1890. During the past 
three months intensely jaundiced, 
and is given up as past all hope of 
recovery. 



of Jaundice. 1 8 1 

During the past nine years her 
doctor has been giving her morphia 
to ease the pain in the right side, 
left side, and in the stomach, ab- 
domen, and hypogastrium respec- 
tively. At the present time she 
takes about a dozen quarter-grain 
pills of morphia a day ; she is 
emaciated to a painful degree. 
The spleen is very much hyper- 
trophied, and extends across to the 
mesial line and inferiorly down to 
the crest of the ilium; in fact, it 
practically fill the left half of the 
abdomen. It is very tender, and 
the contours of the big spleen can 
not only be felt but readily seen, 
as it rises above the surface. The 
liver is only very moderately en- 
larged, about an inch and a half 



182 Remarkable Case 

beyond the ribs, towards the epi- 
kastrium. 

While I am examining her, 
patient appears very weak and 
faint, and hardly able to bear the 
undressing. Her eyes are lustrous, 
her tongue raw red. Urine is 
scanty ; loaded with bile ; bowels 
costive. The region of the gall- 
bladder and ducts very tender, but 
the greatest pain is in the pit of 
the stomach. Catamenia always 
scanty, and at present stopped. 
The motions are without bile, and 
moved with the very greatest diffi- 
culty. No appetite. In almost 
constant distress from the agoni- 
sing pains at the pit of the 
stomach. 



of Jaundice. 183 

Patient had been twice vacci- 
nated, and years ago had severe 
ulceration of the womb, for which 
she lay in bed for three months, 
and during that period was six 
times cauterised. The cauteriza- 
tions, aided by many intro vaginal 
injections and much lying-up, 
were followed by the disappearance 
of said ulcerations. 

I did not really know where to 
begin at in this formidable case, 
but in view of the severity of the 
epigastric pain, jaundice, consti- 
pation, &c, I ordered Hydrastis 
Can. #, four drops in a tablespoon- 
ful of tepid water every four hours. 
This was the last day of Septem- 
ber, 1890. 



184 Remarkable Case 

October 6th. — The urine has be- 
gun to improve ; it is more watery, 
and not quite so full of bile; the 
motions more natural, but the liver 
is very distinctly bigger than it 
was six days ago. I therefore feel 
justified in going on with the Hy- 
drastis. 

13th. — Patient's jaundiced skin 
is not quite so intensely black- 
yellow ; the pain has altered. There 
is very distinct, though not great, 
improvement ; for the first time for 
very very long her period is full 
and free, which has much relieved 
her. The spleen is a trifle smaller; 
the tongue dry and glazed. 

I find on reference that a few 
doses of Thuja 30 were given inter- 



of Jaundice. 185 

currently on the 6th instant. Con- 
tinue with both Hydrastis and 
the Thuja 30. 

20th. — There is no longer any 
pain in the region of the gall- 
bladder; patient complains of cold 
shivers ; liver has gone down in 
size while the spleen is more 
swelled and very painful, and 
patient complains very much of 
chilliness. 

Ijk. Tc. UrticcB ttrentis 4>, seven 
drops in water three times a day. 

27th. — No " spasms"; pains in 
the spleen worse ; the spleen is, 
however, softer to the feel ; liver 
larger. To alternate Cardites 
mar. with the Urtzca ) every three 
hours. 



1 86 Remarkable Case 

Nov. 3rd. — Spleen and liver both 
bigger, which I take to mean that 
they are being acted upon by the 
remedies, particularly as patient is 
not so chilly and is in less pain. 
Patient has never ceased to take 
about a dozen morphia pills every 
day; some days many more. 

To continue with the Carduus 
and Urtica. 

12th. — The jaundice is much 
worse; the pains in the region of 
the gall-bladder are atrocious. I 
try to persuade the patient to leave 
off the morphia, so as to give the 
remedies a chance, but she appeals 
to me not leave her unhelped in 
her agony; I could not resist, and 






of Jaundice. 187 

so consented to the morphia pills 
being continued. 

We had made a little progress in 
the case, but not much, and I 
therefore made a further and very 
careful survey of the aetiological 
history of the case, and came to the 
conclusion that the whole thing 
was of uterine origin. 

As I have had a good deal of 
clinical experience of Bursa pas- 
tor is, tending to shew that it is a 
remedy specifically affecting the 
womb in like manner as Ckelt- 
donium does the liver, I at once 
determined to test for the right 
appropriation uteri, as I conceive 
Paracelsus or Rademacher might 
have done. 



1 88 Remarkable Case 

I reasoned from the clinical data 
taken in historic sequence that the 
primary affection years ago was 
uterine, and the hepatic affection 
consecutive thereto, and starting 
therefrom. I saw clearly that the 
old ulcerated condition was at the 
bottom of it, or rather that was as 
far back as I could get for the 
present. For although the cause 
of the ulcers was presumably the 
fons et origo malt, yet the real dis- 
ease at present to be grappled with 
was the jaundice, the gallstones, 
and the colic. 

In this case getting rid of the 
primary constitutional cause would 
not necessarily have mended mat- 
ters, therefore I started with Bursa 



of Jaundice. 189 

pas torts #, five drops in warm water 
every five hours. 

That was on the 12th, and by 
the 17th there was a very extra- 
ordinary change come over the face 
of the case; indeed it was at first 
blush almost incredible. There 
was much less jaundice, the liver 
had gone down in size almost to 
normality, and the spleen was fully 
an inch smaller. Moreover, there 
was no pain in the liver at all. 

My inkling that the start of the 
disease of the biliary apparatus was 
in the womb being thus confirmed, 
indeed, rendered certain, I con- 
tinued with the Bursa as before. 

Nov. 24th. — Although there has 



190 Remarkable Case 

been no further spasms, there has 
not been any further progress* 
patient does not sleep so well; the 
liver has again begun to enlarge, 
and there is no further diminution 
in the size of the spleen. Still, I 
did not feel justified in leaving off 
with Bursa, and hence I alternated 
it with Chelidonium $. 

December. — Patient was very ill, 
and everybody gave her up, ex- 
cepting myself. I did not see my 
way out of the wood, but still I 
hold that the physician who gives 
up a case before the patient dies is 
on a par with the soldier who runs 
away from the enemy. So here, 
though I was absolutely alone in 
my view, I refused to surrender. 



of Jaundice. 191 

The bowels had ceased to act; 
there was more jaundice again, 
and patient could no longer rise 
from her bed. 

I then gave Euonymin 3 X , six 
grains every two hours, just as a 
liver remedy. Under very great 
agony patient in the course of a 
week or two passed a handful of 
gallstones by the bowels, and her 
j aundice was gone ! 

A number of the largest were 
obtained from the stools, and on 
account of the great interest of the 
case I now present my readers 
with a photogravure of them, taken 
by Sprague, of London, and which 
gives them in their natural size. 



192 Remarkable Case 

I have shewn these biliary cal- 
culi to certain medical friends, 
and amongst them to Dr. Robert 
T. Cooper, of London, as a curi- 
osity. 

I should explain that these 
biliary calculi were very much 
larger than here represented when 
they were first passed, but their 
outer layers were friable, and were 
washed, picked, and rubbed off be- 
fore the calculi were brought to 
me; it is really only the hard 
kernels of the calculi which are 
given in this photogravure. 

Notwithstanding the disappear- 
ance of the jaundice, and the 
passage of the gallstones as just 
^escribed, patient had got very low, 



Ifel 



lllF 



4 J 



$ f # 



6 



# * . ■• 



b % 


% 


# 


i 


p * 


# 


% 


i. 



of Jaundice, 193 

and the spleen did not seem to be 
any better subjectively, and not 
much smaller, and there was no 
period. 

Here I gave Ceonothus Am. 1, 
five drops in water four times a 
day. 

15th. — Patient has had severe 
rigors, seemingly caused by the 
Ceanothus, which is therefore dis- 
continued. She has no appetite, 
and the menstruation has not ap- 
peared. 

To have Pulsatilla 1, three drops 
in water every three hours. 

20th. — Liver nearly normal ; has 
just menstruated; the spleen has 



194 Remarkable Case 

gone down a little; the entire ab- 
domen very tender all over; has 
again had an awful attack of gall- 
stone colic, and passed a number 
of stones, one very large. There 
is still bile in the urine. 

To have Bursa pastoris <L>, and 
Nux vom. i. 

29th. — Another attack of colic; 
a further passage of biliary calculi 
— three large ones ; patient is low 
and weak, and prefers death to so 
much pain. It is to be remembered 
that large numbers of morphia pills 
are being taken all this time. To 
relieve the effects of the passage of 
the calculi, and the almost general 
feeling of bruisedness and tender- 



of Jaundice. 195 

ness, I ordered Be His perennis 0, 
eight drops in water every four 
hours. 

1891, Jan. 12th. — Great general 
improvement from the use of the 
Bellis perennis, but her liver and 
spleen are more swelled and greatly 
distress her. 

J$> Trit 3 X Cholesterin. Six 
grains dry on the tongue every 
four hours. 

19th. — Spleen and liver seem 
larger than ever. No jaundice, 
however. No menses. 

Five drops of Pulsatilla <P three 

times a day. 
14 



196 Remarkable Case 

26th. — Has normally menstru- 
ated; liver smaller; spleen very 
tender. 

5? Bursa pastoris #. Five drops 
in a tablespoonful of water three 
times a day. 

Feb. 3rd. — Has passed some 
more calculi; region of gall duct 
very tender; no jaundice; urine 
normal ; is gaining flesh ; the 
spleen is very large. 

Ijk Tr. Ceanothus Americanus 1. 
Five drops in water every four 
hours. 

13th. — There is further improve- 
ment; she feels better; is begin- 
ning to go about like other people , 



of Jaundice. 197 

has passed one gallstone of small 
size, and a number of lumps of 
" sooty stuff." Feels that this 
medicine has done her much good. 
Rep. 

23rd — The spleen has gone down 
about one inch and three quarters ; 
has menstruated again normally ; 
is increasing in weight. 

Rep. 

March 16th. — By letter I am 
informed that the spleen is not so 
well ; and that there is a good deal 
of pain in the right side again. 

5? TrtL 3 X Leptandrin. Six 
grains dry on the tougue, three 
times a day. 



198 Remarkabe Case 

31st. — No improvement from the 
Leptandrin, and generally not so 
well, though the jaundice is en- 
tirely a thing of the past, and she 
is now of a very clear white com- 
plexion, and getting no longer to 
appear to be particularly thin. 

^ Be His perennis and Bursa 
pastor is in alternation. 

April 15th — Liver, spleen, and 
womb are described as " all blown 
out;" much pain in the region of 
the gall bladder. 

Jfy Puis, and Byronia. 

May 4th. — Patient is doing 
well; liver normal, or nearly so, 
spleen now only reaches half way 
down to the crest of the ilium, 



of Jaundice. 199 

and is well defined. Patient has 
now the old symptoms of ulceration 
of the OS UTERI — the forcible heal- 
ing up of which started the whole 
thing years ago ! 

And here I think I may resume, 
and conclude this already too long 
narration. 

We see in this case the import- 
ance of Paracelsic organ-testing to 
find out the point de depart of the 
series of morbid phenomena; he- 
patics and splenics had no ade- 
quately curative action till the 
uterine medicine [Bursa past oris) 
had touched the place of origin of 
the liver affection, and as soon as 



200 Three Months Later. 

this was done (see Notes tinder 
date November 17th, 1890) imme- 
diate improvement began ! 

We have now cured the jaun- 
dice ; the gallstones have been got 
rid of through the natural ways ; 
the liver is well, and patient is 
going about her business; and our 
interest in the case in this TREA- 
TISE on " The Diseases of the 
Liver " is at an end. 

Three Months Later. 

August 10th, 1891. — Havingthis 
day seen and carefully examined 
this patient I am enabled to say 
that she is in excellent health, 
plump and pleasing, and equal to 



Conclusion of Part II 201 

and performing the usual duties of 
an English housewife with a large 
family. 



PART III. 



The Diseases of the Liver. 



^T^HE issue of a second edition of 
this treatise on Diseases of 
the Liver affords me an opportunity 
of adding somewhat to the clinical 
demonstrations already contained 
in Part II. 

Particularly would I call atten- 
tion to what is here related of the 
sphere of action of Chelone glabra 
of which no mention is made in the 
first edition, because I was, at the 
time of its issue, not clear on the 
subject. At this place I would 
also take the opportunity of point- 



2o6 An Omission. 

ing out the omission by Dr. Dud- 
geon of a very important point in 
regard to the clinical use of Car- 
duus maricz. Some time since Dr. 
Dudgeon translated and published 
in one of our journals some very 
important cases of pulmonary dis- 
ease and coughs as cured by Car- 
duus. The impression conveyed 
by this eminent writer's transla- 
tion is that Carduus in these cases 
acted as a pulmonary remedy 
whereas the cases were really con- 
sidered by their author as of hepatic 
origin: the pulmonary manifesta- 
tions being consentaneous, or sec- 
ondary to primary liver affections 
in all the cases narrated. This 
point is of the highest importance 
as Dr. Dudgeon's translations give 



Carduus, 207 

one the impression that Carduus 
is a lung medicine which I think 
is entirety erroneous : the lung af- 
fections that are curable by Car- 
duus have their starting point in a 
primary affection of the liver. All 
the clinical writers on Carduus 
with whose works I am acquainted 
are of this opinion, and Rade- 
macher, the greatest of them all, is 
very clear and positive on the sub- 
ject.* I will now relate a case of 
hepatic disease of great interest 
which had baffled some of the best 
physicians in London and which 
very clearly exemplifies the thera- 

*I am very well aware that Dr. Dudgeon does 
not share in my organopathic views, but as 
translator he is bound to faithfully render the 
original. 



2o8 Enlargement of Liver. 

peutic range of Bellis'perennis and 
again of Carduus marice. It is 
one of: 

Enlargement of Liver Remain- 
ing from Hepatitis and 
Peritonitis. 

The wife of the Vicar of St. B. 
brought a young lady, about 24 
years of age, to me on February 
20th, 1893, for considerable swell- 
ing of the abdomen and such severe 
varicosis of lower extremities that 
the patient had been confined to 
her couch for nearly a year. 
Patient had had thrombosis of the 
veins of her lower extremities re- 
peatedly and the swelling in the 
right side of the abdomen dates 



The Origin. 209 

from a severe attack of peritonitis 
and hepatitis. All idea of a cure 
had been abandoned. Percussion 
and palpitation revealed an en- 
largement of the left lobe of the 
liver and a painful lump lying be- 
tween the liver and the navel about 
the size of a small fist. Glands in 
the groins feel like marbles, lower 
extremities large and unshapely, 
clearly the remains of the origi- 
nal thrombosis. Inasmuch as the 
whole series of phenomena — throm- 
bosis, peritonitis, hepatitis — began 
with getting a chill (cold, wet) six 
years ago, I ordered my old friend 
Bellis perennis ten drops in a table- 
spoonful of water night and morn- 
ing. 



210 Cured. 

March 20th. — Very greatly im- 
proved, indeed, lump nearly gone 
and the lower extremities are now 
shapely ! ! 

The left lobe of the liver how- 
ever remaining enlarged, I ordered 
Carduus martce seven drops in 
water night and morning. 

April 28th. — Patient at this date 
was walking about like other peo- 
ple, and the only thing that re- 
mained was a little transverse 
swelling of the liver and this was 
removed by a short course of 
Che lone glabra. 

In the fall of the year 1893, a 
slight relapse occurred which was 
quickly righted by Bellis perennis. 



Helianthns Annus. 211 

The Vicar's wife was with me on 
October 15th, 1894, on another 
matter and mentioned incidentally 
that Jessie's cure had proved com- 
plete and lasting. 

The common sunflower is an old 
horticultural as well as clinical 
friend of mine that has here and 
there helped me in splenic affec- 
tions. Here I use it more as a 
liver remedy : — 

Helianthus Annnus as a Liver 
Medicine. 

Altho' I regard the sunflower as 

specially a spleen medicine still it 

has a distinct action across from 

the spleen toward the liver and 

possibly it influences the liver also. 
15 



212 Throbbing Swelling. 

I have lately cured a stubborn case 
of a throbbing swelling in the pit 
of the stomach involving the left 
side of the liver and the spleen 
and the tissues lying between the 
two organs. 

No defined epigastric tumours 
could be satisfactorily distinguished 
but the whole epigastric region 
was very tender on pressure and 
patient could not bend down with- 
out getting giddy and feeling much 
distress at the epigastrium. The 
particular interest in the case lay 
in the long duration of the ailment 
and the pulsating epigastric mass. 

Patient took five drops of the 
matrix tincture of Helianthus ) 
night and morning for some weeks 



Pulsating Tumours. 213 

when the only abnormal thing re- 
maining was the very slight en- 
largement of the left lobe of the 
liver and for which he was pnt on 
Chelone glabra. The spleen was 
put right and also the epigastrium 
of which the pulsation ceased, to- 
gether with the tenderness and 
distension and in view of the diffi- 
culties one encounters in dealing 
curatively with pulsating epigas- 
tric swellings I think this short 
narration worth penning and pre- 
serving. 

I know of nothing in the way 
of diagnosis offering more difficul- 
ties and pit- falls than " pulsating 
tumours n in the abdomen, and 
indeed all abdominal tumours take 
a deal of diagnosing. 



214 Chelone Glabra. 

I will now invite my reader to a 
short yet closer consideration of an 
hepatic that is a comparatively new 
friend, viz: 

Chelone Glabra — An Important 
Hepatic. 

I think I have discovered an im- 
portant differential point for the 
scientific nse of Chelone glabra. 

A Commander in the Royal 
Navy, about two years ago, came 
under my observation for an enor- 
mous varix in the right groin, just 
on Poupart's ligament. The varix 
was about the size of a very small 
orange and the thing was certainly 
becoming alarming on account of 
the thinning of the wall of the 



Enlargement of Left Lobe. 215 

dilated vein. And being in the 
bend of the groin it was almost 
impossible to apply mechanical 
support. The patient was a thor- 
oughly healthy fellow and thongh 
I diagnosed him np and down and 
questioned him unto very weari- 
ness, still there was absolutely 
nothing findable beyond a slight 
enlargement of the left lobe of the 
liver. I first used Chelidonium 
majus. with some advantage, and 
under Cardtius maricz the varix 
certainly diminished somewhat, 
but under the remedy in question 
the varix disappeared and patient 
hastened off on active service. 
From this (and similar observa- 
tions I have laid it down for my 
own future guidance that the seat 



2 1 6 Action of Chelone. 

of action of Chelone glabra is the 
left lobe of the liver and its line of 
action is in the direction of the 
navel, bladder and uterus. That 
this is really so the competent will 
have no difficulty in verifying 
whether Chelone acts upon the 
liver itself as a true hepatic I 
would not venture to affirm ; per- 
haps it reduces the swellings of 
the left lobe of the liver by its ac- 
tion on the veins running up to 
the liver. 

Many of the "New Remedies" 
have come and gone; Chelone has 
come to stay: its sphere of action 
is small, its action sharp and withal 
well defined. 



Che lone Glabra. 217 



Case of Right-sided Varicocele 

from Enlarged Liver, much 

Ameliorated by Chelone 

Glabra. 

A gentleman, who had long been 
under me, consulted me again in 
the spring of 1894 for varicocele of 
the right side. Casting about to 
find the primary dam I found the 
left lobe of the liver notably 
swelled, patient himself being how- 
ever in capital health. There was 
besides the varicocele a moderate 
degree of varicosis of the large 
veins of the whole of the right leg. 
I prescribed Chelone glabra, five 



218 Chelone Glabra. 

drops in a tablespoonful of water 
night and morning. 

I did not hear from him for 
eleven months when he called to 
see me telling me he had gone on 
with the remedy steadily all the 
time as it seemed to be doing him 
good. 

On examining him I found the 
varicocele had gone down about 
one-half and the varicosis of the 
leg had also notably diminished, 
so that he can now safely dispense 
with the elastic support. I was 
here led to prescribe Chelone be- 
cause of its line of action from right 
to left and from above downwards. 

The testimony afforded by this 



Vein Remedies. 219 

case is very high indeed because 
patient lias been under me for 
years for his varicosis with but 
small benefit, and bis beino- an 
officer in the Royal Navy rendered 
it very important that he should 
have his varicosis mended. He is 
not entirely cured now but the 
amelioration is such that in his 
own words "they (the authorities) 
will let me go now on any expedi- 
tion. " I had before made use of a 
number of vein medicines and con- 
stitutional remedies, but Chelone 
alone did ten times more than they 
all. 



220 Limitations. 

Carduus Maricz and Chelone 
Glabra. 

There are cases of enlargement 
of the left lobe of the liver that are 
ameliorated by Carduus maricz, and 
by Chelone glabra also, though 
not radically cured by either and 
these cases beautifully exemplify 
the limitations of the curative 
spheres of organ-remedies as I have 
more particularly dwelt upon in 
my work on " Diseases of the 
Spleen." The subject is so im- 
portant that I will go into the 
matter at this place somewhat 
more in detail. It is a great help 
in the drug treatment of disease to 



Constant Indications. 221 

be able to get clean-out constant 
indications for our remedies; and 
so it is very helpful to see where 
the remedial action certainly leaves 
off. Now the curative sphere of 
organ-remedies stops short of blood 
diseases; they do not reach the 
diathesis, and they therefore do 
not cure, e.g., Chronic Skin Dis- 
eases ; skin diseases are commonly 
diathesic. 

A gentleman of thirty years of 
age came under my observation for 
liver disease, skin disease, insom- 
nia, depression of spirits and 
chronic diarrhoea tho', only thirty 
years of age, he has lost all his 
teeth from shrinking of the gums; 
they just fell out. His skin dis- 



222 Sternal Patch. 

ease consisted in what I have else- 
where called the Sternal Patch, the 
liver affection in an enlargement 
of the left lobe and for this I 
ordered Carduus maricz, six drops 
in water, three times a day. In a 
short time he reported himself as 
sleeping well and his spirits nota- 
bly improved. Arsenicum and 
Thuja followed but no further im- 
provement worth while mention- 
ing, when, on June 13th, I pre- 
scribed Chelone glabra in the same 
manner in which I had formerly 
ordered Carduus. 

July 13th. — " That medicine 
{Chelone) acted like a charm. 

Patient remained well for a year 
or so and then returned with the 



Where Organ Remedies Fail. 223 

old symptoms again — I have now 
come to the point of my case. 
Cardials was ordered as before. 
Chelone followed, bnt neither acted 
as formerly, that which a year 
before acted like a charm now acted 
not at all. The fact is in this case 
there exists a constitutional crasis 
quite away from the hepatic state, 
it is an organismic ailing and not 
merely one of the organ, and here 
I found it necessary to go in quest 
of the homoeopathic simillimum, 
the simple homoeopathic part-elec- 
tive drug-effinhy not sufficing. 
Clearly organ-remedies restore 
only tone and equable circulation 
in most instances but do not alter 
the organismic quality of the 
organ, nor do they cure any dia- 



224 Homoeopathic Simillimum. 

thesic quality of the stroma of the 
organ. 

In fine : Where the organ-ill 
comes from the organism and keeps 
on coming, the organ remedy is 
capable only of clearing the organ 
of its organismic soot, so to speak, 
for the time being; it is only while 
where the organ ailment is in and 
of the organ that the organ remedy 
is adequate. Also where the ail- 
ment is in and of the organ it is 
useless to attempt its cure with 
high dilutions affecting the whole 
organism : a localized organ disease 
calls for a localized organ remedy, 
just as a general diathesic organis- 
mic disease needs the homoeo- 
pathic simillimum in some potency 



Homczopathicity. 225 

sufficiently removed from its ma- 
teriality. The degree of honiceo- 
pathicity conditions the degree of 
potency, the greater the degree of 
of homceopathicity the greater 
(higher) the potency and con- 
versely. Hence it is that I use 
mother tinctures .in the organo- 
pathic states and ailments. Thus 
even in the use of simple organ- 
remedies of but small pathogenetic 
powers, yet considerable local affin- 
ity, a few drops of the mother 
tincture ma 3^ act very perturbingly. 
For instance the tincture of the 
common marigold may be used in 
5 or 10 drop doses with ver}' slight 
effect but let the homoeopathicity 
be a little greater than merely local 



226 Calendula. 

affinity and we get nausea, vomit- 
ing and abdominal distress. 



Calendula as A LivKR Medicine. 

We find under Calendula " chilly 
hand." "He is easily frightened" 
— I have often used Calendula in- 
ternally and gained the conviction 
that it has a certain beneficial 
influence upon scrofulous ulcers 
notably helping to make a nice 
scar. In liver affections I had not 
used it till Dr. Robert T. Cooper 
mentioned it to me in this regard, 
but he knew of no special indica- 
tion for its use in preference to any 
other, and this is ever the great 
difficulty with organ-remedies, es- 



Calendula Indications. 227 

pecially where the epidemic genius 
of the disease is unknown, and, as 
it so often is, unknowable; my 
greatest help is to find out the 
exact part of the organ or part, a 
given remedy affects and this is 
often quite sufficient. 

The two symptoms, " chilly 
hands" and " easily frightened," 
taken together and in conjunction 
with liver troubles, would seem to 
call for Calendula. 

Case. — Mr. X., a singer of world- 
wide fame, had been under me for 
some months with much advan- 
tage; under hepatics and renal 
remedies he greatly improved, but 
did not get rid of his " cold hands • ' 

and " I am so dreadfully nervous, 
16 



228 A Calendula Case. 

I am frightened at everything, 
sometimes I dare not enter a cab 
or carriage, and feel it to be abso- 
lutely impossible to face the audi- 
ence and my indigestion is pretty 
bad and I have a great deal of 
heartburn." 

At the left side of the liver, deep 
in, seemed the faulty part. 

Ijk. Calendula off, 0, five drops 
in water, night and morning, was 
ordered and after a month of this 
I heard "Oh, I am getting on 
splendidly; the heartburn is gone, 
my digestion is better, my hands 
have quite lost that nasty cold 
feeling and my nerve is so much 
better, I am quite a different man." 



Vaccinosis. 229 

I liad formerly won this gentle- 
man's confidence by materially im- 
proving his grand voice. 

What with ? 

Thuja occidentalis 30. 

Why given? 

For Yaccinosis. 

The number of people I have 
benefitted by Thuja 30 is really 

almost beyond belief; one dose of 
six globules ever}- week is my rule. 



230 Hep a tic Dropsy. 



Chelone Glabra in Hepatic 
Dropsy. 

In a case of severe dyspnoea 
from hepatic dropsy Chelone glabra 
rendered me good service ; the case 
was very complicated inasmnch as 
in addition to bradycardia, cirrhosis 
of the liver and Bright's disease of 
the kidneys there was seemingly a 
tnmonr lying between the liver 
and the navel: tense, tender and 
certainly of quite a different natnre 
to the general ascitic swelling. 
By reason of its topographic posi- 
tion and in view of the line of 
action of Chelone as I have before 
pointed ont, I gave five drops of 



A Chelone Cure. 231 

Chelone <P in a tablespoonful of 
water every four hours and in less 
than a fortnight the lump between 
liver and navel had quite disap- 
peared, and simultaneously there- 
with also the cardiac d\^spnoea. I 
say cardiac d}'spncea as it lay in 
its origin between the liver and 
the heart, I could not trace any 
direct influence of Chelone on 
either the heart or kidneys though 
both were much influenced by the 
removal of the obstructive mass 
between liver and navel. 



232 Quassia. 



Quassia as a Liver Medicine. 

It is difficult to conceive of any- 
thing outside of one's own self and 
one's own experience and hence it 
comes to pass that I have never 
been quite able to realize that 
Quassia has any action on the 
liver worth while. Und Dock. 

Very early in 1895 a gentlemen 
sent me a young man from Hamp- 
stead who had been in vain 
operated on in University College 
Hospital and thence discharged as 
incurable. Incurable at twenty 
years of age ! 

This young man informed me 
that he left University College 



A Bad Case. 233 

Hospital quite lately and showed 
me a long scar in the right axil- 
lary line where an incision would 
have enabled an exploration of the 
right kidney region, gall bladder 
and back of liver, which no doubt 
was the object of the operation. 
He himself stated that it was for 
stone in the right kidney but on 
reaching the kidney no stone could 
be found and so the wound was 
stitched up, and as soon as it had 
healed-up patient was discharged 
as incurable. 

Patient complained of attacks of 
severe pain at the back of the liver 
— just where the fresh scar is seen 
— coming on with vomiting at any 
time, any day and in any weather; 



234 A Bad Case. 

these attacks average about one a 
week and the pain once on will 
last from one to three days. Has 
been subject to these attacks for 
five years and has had to give up 
all work for long and is now much 
reduced in health and strength. 
The vomiting comes on whenever 
he attempts to eat. As the attack 
comes on he swells and seems very 
tight in the girth. In the perpen- 
dicular the hepatic dulness goes 
right up to the nipple. I put 
patient at first on Hydrastis Cana- 
densis, then on Urtica urens, then 
on Chelidonium majus with the 
sole difference that under the Chel- 
idonium the dull percussion note 
of the liver in the mammary line 
was a trifle less. 



Quassia Ordered. 235 

On April 9th I ordered Quassia 
tincture 0, five drops in water every 
four hours. 

23d. There is very great im- 
provement and the young man has 
quite a different look, his low 
whining complaining tone having 
given way to much greater mental 
and physical alertness, only one 
attack of pain. Rep. 

May 7th. There have been two 
attacks of pain, but very much 
less severe and he feels much 
stronger. 

To take the Quassia in five drop 
doses three times a day. 

May 2 1 st. Attacks are much 
less in severity and less frequent. 



236 Great Improvement. 

Patient has put on flesh, the previ- 
ous dirty colour of the skin of his 
face has gone and given place to a 
clean, healthy looking face. Rep. 

Remains under treatment so I 
am not able to say whether the 
Quassia is the real remedy in the 
case; but, assuming that it does no 
more than it has already accom- 
plished, at any rate its record in 
the case is better than that of my 
allopathic friends at University 
College Hospital. So far as I see 
at present it is a case of neither 
liver nor kidney merely, but of the 
right supra-renal capsule, but into 
this dark continent we will now 
not penetrate. 



INDEX. 



PAGE. 

Acholia, Chelidonium in . , 39 

Acromegaly 9 

Amekean Treatment of Hepatic Tumours . 137 
Analgesic Action of Salicylate of Sodium .172 
Asthma Occurring with Gallstones . . . .152 
Autonomy and Hegemony of the Organ and 

the Organism 1 

Badiaga in Chronic Biliousness 99 

Bellis peren nis in Biliary Calculi 195 

173, 195, 209 

Bilious Debility, Ferrum picricum in . . . 94 

Bilious Fevers 38 

Biliousness, Chronic, Chelidonium in . . . 87 

Brassica mur. in Sluggish Liver 83 

Bronchial Catarrh 106 

Bryonia in Gallstones 117 

Bursa pastoris in Uterine Disease 187 

Calendula as a Liver Medicine 226 

Cancer, Hepatic 137 

" " Iodum in 138 

Carduus mar 50, 66, 185, 206, 220 

11 " in Cancer of Liver 137 



238 Index. 

PAGK. 

Carduus mar. in liver and Spleen Affections 52 
" i ' in Enlargement of Liver and 

Spleen 53 

" " Riel's Proving of 57 

" in Transverse Enlargement 

of Liver 58 

" " in Gallstones . . 89, 93, 160, 163 

" ' ' in Dyspepsia 72 

" " and Chelone Compared . . . 220 

Ceancthus in Enlarged Spleen 196 

Cervical Glands, Induration of 56 

Chelidonium in Acholia 39 

" in Cancer of liver . . . 116, 138 

' ' a Liver Specific ........ 35 

" an Old Remedy for Jaundice 30 
in Enlarged Liver with Jaun- 
dice 44 

in Enlarged Liver with Con- 
gestion of Lung ... 23, 45 
" in Engorgement of Right 

Lung 48 

" in Gallstones 89, 153 

' ' in Hepatic Colic 96, 103 

"" Jaundice Cured by . . . .29, 47 

1 ' in Perpendicular Enlargement 

of Liver 59 

" Rademacher's Experience of . 35 
" in Varicose Veins from En- 
larged Liver 114 



Index. 239 

PAGE. 

Chelone glabra 205, 213, 214. 220, 230 

" " an Important Hepatic . . .214 

" " Right-sided Varicocele from 

Enlarged Liver, much. 
Ameliorated by . . . .217 

" " in Hepatic Dropsy 230 

Cholagogue, Salicylate of Sodium a . . . . 172 
Cholesterifie in Cancer of Liver . . . .119, 13S 
11 in Gallstones . . . S9, 94, 173, 195 

" in Tumour of Liver — 

in, 11S, 133, 135, 13S, 139 

Cold Hands, Calendula 22S 

Colic, Hepatic Si. 94, 103 

;t " Berberis in 96 

" " Carduus in 74, 96 

" " Chelidonium in .... 96, 103 

11 " Hydrastis in 96, 103 

Cough, and Bronchial Catarrh 106 

Crocus in Dysenteria Hepatica 15S 

Cure of Gallstones, Rademacher's 150 

Curing the Incurable 102, 124 

Diplotaxis teuuifolia 93, 122 

Dose, Question of iS 

Durand's Remedy 162 

" " Composition of . . . 164 

Dysenteria Hepatica Cured 158 

Enormous Spleen 1S1 

Environment 2 



240 Index. 

PAGE. 

Euonymin in Enlarged Iyiver 102 

" in Jaundice 191 

- ' ' in Gallstones 97 

Ferrum picricum in Bilious Debility ... 94 
French Physicians, Practice of, in Hepatic 

Colic 172 

Gallstones, Rademacher's Cure of 60 

Gallstones 84, 115 

Hydrastis in . . . 49, 85, 89, 93, 96 
with Organic Disease of Iviver . 87 
Accompanied by Asthma . . . .151 

Bilirubin in 89 

Chelidonium in 30, 89, 153 

Colic 94, 103 

Helonium in 117 

Ignatia in 89, 103 

Iodoformum in 94 

Myrica cerifera in 49 

Psoricum in 152 

Terebinth in 154 

Goitre 11 

Headache, Neuralgic, Cured by Thuja . . 62 
Helianthus annus as a Iviver Medicine . 211 

Helonium in Gallstones 117 

Hepatalgia, Chelidonium in 32 

Hepatica, Rademacher's 156 

Hepatic Cancer 137 

" " Iodium in 138 



Index, 241 

PAGE. 

Hepatic Tumour, Amekean Treatment of .137 
11 " Cholesterine in . . . 118, 135 

Hughes', Dr., Pharmacodynamics 34 

Hydrastis in Gallstones . . . 49, S5, 89, 93, 96 

" in Tawniness of Skin 108 

" in Enlarged Spleen 183 

Icterus Neonatorum, Myrica in 75 

Ignatia amara in Gallstones 89 

Iod 'of 07 mum in Gallstones 94 

" in Malignant Diseases of Liver 120 

Iodium in Cancer of Liver 136 

Jaundice 23, 29, 44, 47 

" Catarrhal 29, 47 

' ' Remarkable Case of 375 

" Intense 180 

Kalibichrom. in Cancer of Liver . .121, 135 

" " in Gallstones 93 

Leptandra Virginica in Liver Disease ... 78 

Leptandrifi in Spleen and Liver Disease . .197 

Liver, Enlargement of, with Jaundice ... 44 

" Hypertrophy of Left Lobe, with 

Sternal Patch 91 

" Enlargement of, Remaining from 

Hepatitis and Peritonitis .... 208 
Lung, Chelidonium in Engorgement of 

Right 48 

i( Congestion of Right, with Enlarged 

Liver 45 



242 Index. 

PAG£. 
Marie's Disease 9 

Medorrh C. in Hepatic Tumour 140 

Muriatic acid, a liver Remedy 51 

Myrica erifera in Cancer of Iyiver ... 138 

" " in Gallstones 49 

* * " in Icterus Neonatorum . . 75 
Dr. Leland Walker's Prov- 
ing of 77 

Natrum mur 32, 54, 138 

Natrum sulphuricum in Iyiver Disease . . 51 

Neuralgia, Silicea in 102 

Neuralgic Headaches, Cured by Thuja . . 62 

Nux vomica in Catarrh of Gall Ducts ... 39 

" " in Gallstones with Hepatic 

Disease 89 

Olive oil in Biliary Attacks 173 

Organopathy of Paracelsus 147 

Palpitation from Enlarged Liver 100 

Paracelsus' Organopathy 147 

Picric acid in Debility from Jaundice ... 83 

Picrate of iron in Bilious Debility 94 

Podophyllum a Great liver Remedy .... 77 
" in Chronic Hepatic Enlarge- 
ment 168 

" in Diarrhoea 79, 169 

Prunus Virginica in Gallstones 93 

Psoricum 79 

" in Gallstones 152 



Index. 2\' L 



ho 

PAGE. 

Pu Isatilla in Gallstones 195 

Quassia, Action on Liver 157 

as a Liver Medicine 232 

Radernacher's Cnre of Gallstones 160 

" Experience with Chelidonium 35 

11 Formula 51 

11 Hepatica 156 

Rademaclier on Small Doses 40 

Relation of Organs to Organism 4 

Remarkable Case of Jaundice 175 

Kiel's Proving of Card uu s 57 

Saffron, Its Influence on Liver 156 

Salicylate of sodium a Cholagogue . . . .172 

" " an Analgesic 173 

Sanguinaria Can. a Liver Medicine .... 79 

11 " in Gallstones S9 

Shortness of Breath from Enlarged Liver . 100 

Signatures. Doctrine of 7 

Skin. Complexion of. in Liver Affections . 109 

Tawniness of , Hydrastis in 106 

Sluggish Liver. Brassica mur. in S3 

Small Doses, Rademacher on 41 

Specificity of Seat 142 

Spleen Affections. Ceanothus in 72 

Enormous Enlargement of 1S1 

Stahl. E.. on Cardans 73 

Sternal Patch, The 46. 69. 91 

Taraxacum in Liver Disease 61 

17 



244 Index. 

PAGE. 

Tawniness of Skin, Hydrastis in 106 

Terebinth, in Gallstones 165 

" in Indurations 165 

Thlaspi bursa pastoris in Gallstones . . . . 99 

" " " Indications for Use 98 

Thuja in Gallstones with Hepatic Disease . 89 

' ' in Indurated Cervical Glands .... 56 

' ' in Neuralgic Headaches 62 

Thyroid Feeding 14 

Tuberculinum 15 

Tumour of Iviver, Cholesterine in 118 

Turpentine in Indurations 165 

Urticaurais 185 

Vaccinosis . 227 

Varicose Veins from Enlarged Liver . . .111 
Walker's, Dr. Leland, Proving of Myrica, 55, 77 



Illustrations of Gallstones by the Photo- 
gravure process opposite 192 



EXAMINER PUBLISHING HOUSE, LANCASTER, PA. 



GOUT fljffl ITS CUflE. 



— BY- 



J. COMPTON BURNETT, M. D., 

Of London, England. 



Philadelphia, Pa. : 

BOERICKH & TAFEL, 

1895. 



172 pp. 1 21110. 
Cloth, 90 cents net\ by mail, 95 cents. 



What the author has to say on that novel 
remedy Spirit us Glandium Ouercus, and on 
the old reniedj- Urlica Urens, is alone worth 
the price of the book to any general practi- 
tioner. The subject of the book. Gout, is ably 
and brilliantly treated. The liquor habit, its 
physical ills and treatment, also receives very 
full attention. 



flew Gare for Gonsamption 

Third Edition. 295 pages. i6tno. 
Cloth, $1.00; by mail, $1.08. 

By J. COMPTON BURNETT, M. D., 

London. 
Published by Boericke & Taf el. 



From the very first appearance of this really 
remarkable book the interest it has excited has 
increased, for there can be no question that the 
remedy with which it deals has proved to be a 
wonderful discovery. There is no secret or pro- 
prietary rights about the remedy, and its prep- 
aration is given in the book itself. The remedy 
is on sale at the various pharmacies of the pub- 
lishers, Messrs. Boericke & Tafel, the same 
preparation as used by Dr. Burnett. We may 
state here that cures even more remarkable than 
those reported by Dr. Burnett in the book under 
consideration have been made by other physi- 
cians in Europe and America, and that so far 
from over-rating the value of Bacillinum, the 
author has rather under-rated it. 



RD-2UX 



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